Well done: Total femur replacement in stage IIB Osteosarcoma

Dr. Kishore
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Dr. Kishore B. Reddy with patient Sunaullah

DTMT Network
Doctors at the American Oncology Institute, Hyderabad, have given a new life to a 25-year-old Bangladeshi policeman by performing on him total Femur replacement for Enneking Stage IIB Osteosarcoma, a rare bone tumor. It took six hours to remove the 10kg thigh bone tumor and reconstruct with total femur prosthesis.

Doctors say that the incidence of Osteosarcoma is three cases per million, each year. The patient, Mr. Sunaullah, was presented with a massive swelling and excruciating pain in the left thigh and he was enduring the trauma for over ten months. He has recovered fully after the treatment and is able to stand on his feet, walk without support and is set to go back to his country.

Osteosarcoma is usually found at the end of the long bones, often around the knee joint, though it is occasionally seen manifesting around the hip and arms. Osteosarcomas are usually high grade tumors that require an aggressive treatment regimen. It is a life threatening condition, as the tumor can spread rapidly to other organs if not treated in the early stages of the disease.

According to the hospital, for Mr. Sunaullah, it all began with a minor swelling in the knee area, which, despite seeking medical attention, saw a gradual progression and increasing pain. In due course, it impacted his daily routine and he reached a stage of immobility, being bedridden for over three months.

The condition led to loss of appetite and rapid weight loss. As the problem started becoming acute, he approached specialists and tertiary care hospitals in his country, with little respite.

One of the reputed hospitals he approached in Bangladesh, prior to coming to India, started him on chemotherapy. He was suggested amputation from the hip. With no improvement in Bangladesh, he consulted doctors of American Oncology Institute on December 15, 2019, for limb salvage surgery.

Dr. Kishore B. Reddy, Musculoskeletal Oncosurgeon, American Oncology Institute, said: “We had a dual challenge. The primary one being to save his life from the advanced stage of cancer, which seemed possible by simply amputating his limb. But the patient being young, our quest was also to salvage the limb and ensure he leads a quality life post-treatment. This is what led us to opt for a complex and arduous Total Femur Replacement surgery.”

“The advanced stage of the ailment compounded the effort and made things difficult, but with dexterity and finesse we could accomplish what we aimed for, ” he added.

“When he came to us, the disease was in an advanced stage IIB, where the tumor cells are of higher grade and have spread beyond the bone into the surrounding muscles and soft tissue. The obvious option would have been amputation of the limb to prevent the risk of cancer spreading to other parts of the body and proving fatal to him in due course,” explained Dr Reddy.


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