Limb Salvage vs Amputation
Limb salvage and amputation are two primary surgical strategies in the treatment of malignant bone and soft tissue tumors. The goal is to balance oncological safety with function and quality of life.
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Limb salvage surgery aims to preserve the extremity while achieving local tumor control. Advances in imaging, surgical technique, chemotherapy, and reconstructive options have significantly increased limb salvage rates. However, limb salvage is not always superior to amputation. Factors such as neurovascular involvement, infection risk, and expected functional outcome influence decision-making.Amputation may be necessary in cases of extensive disease, poor soft tissue coverage, or failed previous salvage attempts. It offers a more predictable oncologic outcome and may allow for faster rehabilitation with modern prosthetics.Patient preference, psychosocial considerations, and long-term functionality must be integrated into the treatment plan.
