Modern methods of treatment of malignant tumors

Abstract

Attempts to avoid limb amputation upon detection of a malignant bone or soft tissue tumor were made by surgeons as early as the beginning of our century. One of them was related to plasty according to F. Sauerbruch: after resection of the femur, the tibia was moved upwards and placed in the musculocutaneous bed, resulting in a stump suitable for prosthetics. Tikhov and Linberg performed an extensive resection of the scapula and the proximal end of the humerus, preserving an "elongated" and unstable, but mobile upper extremity. Preservation of stability of the lower extremity by implanting tumor prostheses seemed to be the most reasonable. The first operation of this type was performed in the late 1930s by A. Moore for a gigantoclavicular tumor of the proximal femur. In the late 50s and early 60s, with the development of hip arthroplasty, the tendency to develop and implant special prostheses for patients with tumor diseases also intensified.