Diaphyseal reconstructions

Many malignant bony lesions are encountered in the diaphyseal segment of long bones. These lesions include Ewing's sarcoma, adamantinoma, chondrosarcoma, and metastatic disease. The histology of the tumor, the size of the tumor, and the stage of the disease determine how the lesion should be treated. Metastatic lesions within the diaphysis can be treated with curettage and intramedullary stabilization. Primary bone tumors located in the diaphysis of the long bone should be treated with wide resection and reconstruction. There are many reconstructive options. The option utilized depends on the long bone involved, the extent of the resection, the age and the prognosis of the patient. The following article gives an overview of resection and reconstruction techniques for tumors located in the diaphyseal segment of long bones.