Joshua Zeidenberg BA, MD, Presenter: Nothing to Disclose

Juan Abelardo Augusto Pretell MD, Abstract Co-Author: Nothing to Disclose

Ty Kanyn Subhawong MD, Abstract Co-Author: Nothing to Disclose

Jean Jose MS, DO, Abstract Co-Author: Nothing to Disclose

Thomas Temple MD, Abstract Co-Author: Nothing to Disclose

Sheila Conway MD, Abstract Co-Author: Nothing to Disclose

1. Limb sparing reconstruction plays a major role in the treatment of orthopedic oncology patients. 2. Strategic choice of endoprosthesis, autograft, allograft, or allograft-prosthetic composites balance procedural complexity/morbidity with maximizing functional outcome. 3. Familiarity with these procedures facilitates early recognition of complications.  

A. Limb sparing reconstructive options Determinants of limb-sparing feasibility  -patient age  -disease burden/overall prognosis  -extent of neurovascular involvement -Advantages and disadvantages of -Endoprosthesis -Autograft -Bulk allograft -Allograft-prosthetic composites B. Normal Findings -X-ray anatomy -Assessment of positioning, stability, and fixation of the construct. C. Complications -Aseptic loosening -Mechanical Failure -Nonunion -Infection -Fracture -Arthrosis D. Radiological features of recurrence/progression after reconstruction -Recurrence statistics -Characteristic locations, e.g. graft-native bone junction -Manifestations as lytic bone lesion, soft tissue mass or calcification E. Conclusion -Variety of treatment options available -Choice of reconstruction influenced by multiple factors -Familiarity with techniques facilitates accurate and early identification of potential problems.                  

http://abstract.rsna.org/uploads/2014/14008353/14008353_6ind.pdf

Zeidenberg, J, Pretell, J, Subhawong, T, Jose, J, Temple, T, Conway, S, Bone Tumors, Their Reconstructive Options, and the Role of the MSK Radiologist in Their Assessment.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008353.html