Osteosarcoma — Surgery With Endoprosthesis Implantation: treatment in the Best Hospitals in the World
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Department of Adult and Pediatric Orthopedics, Traumatology and Hand Surgery
The Department of Adult and Pediatric Orthopedics, Traumatology and Hand Surgery offers the full spectrum in these medical focuses. The department specializes in the diagnosis and treatment of all diseases of the musculoskeletal system in adults and children, trauma of any severity, including sports injuries, endoprosthetics, hand and foot surgery. The goal of the department's specialists is to effectively treat and restore the quality of patients’ lives.
Department of Adult and Pediatric Orthopedics, Traumatology
The Department of Adult and Pediatric Orthopedics, Traumatology is part of the specialized Center for Musculoskeletal Disorders, whose medical team consists of highly qualified orthopedists, traumatologists, and spinal surgeons. The department offers modern diagnostics and treatment of the entire range of musculoskeletal diseases. The department's field of competence includes the treatment of injuries of varying severity. The therapeutic options cover both conservative measures and surgical interventions, which are mainly performed using sparing minimally invasive techniques. The treatment concept is based on the comprehensive approach – from the use of conservative methods to physiotherapeutic procedures the day after surgery.
Department of Adult and Pediatric Orthopedics, Traumatology, Foot Surgery
According to the prestigious Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology, Foot Surgery ranks among the top German medical facilities specializing in hip surgery! The department offers the full range of high-precision diagnostics and conservative and surgical treatment for diseases of bones, joints, muscles, ligaments, and tendons. One of the department's key areas of clinical practice is large joint arthroplasty. In this area, the department is awarded the prestigious endoCert certificate. The doctors in the department's operating rooms successfully perform knee, hip, and shoulder replacement surgery. Whenever possible, preference is given to minimally invasive joint replacement surgery. An important part of the work of the department's doctors is the treatment of orthopedic diseases and musculoskeletal injuries in children. The specialists at the medical facility also have long experience in helping patients with foot pathologies and deformities, including hallux valgus, hallux rigidus, hammer toes and claw toes, metatarsalgia, etc. The department's doctors have in their arsenal state-of-the-art equipment and modern treatment methods that allow for the achievement of excellent therapeutic results. More than 3,500 inpatients and about 17,000 outpatients are treated at the medical facility every year.
Department of Orthopedics, Traumatology, Spinal Surgery and Foot Surgery
According to the Focus magazine, the Department of Orthopedics, Traumatology, Spinal Surgery and Foot Surgery ranks among the top German medical facilities in treating orthopedic diseases and spinal surgery! The department carries out comprehensive examinations and effectively treats musculoskeletal diseases and injuries. The department has about 130 beds for its patient hospitalization. Doctors annually admit more than 4,000 patients for inpatient treatment. Several thousand surgical interventions of varying complexity are performed on the basis of the medical facility annually. The department offers the services of the certified Maximum Care Joint Replacement Surgery Center (EPZmax) and the certified Trauma Center. In addition, the department's specialists have vast experience in treating spinal and foot pathologies. The main goal of the department's doctors is to restore mobility and eliminate pain. The specialists always prefer an individual approach to each patient and his clinical case.
Department of Adult and Pediatric Traumatology, Orthopedic Surgery, Hand and Foot Surgery
The Department of Adult and Pediatric Traumatology, Orthopedic Surgery, Hand and Foot Surgery offers the full range of modern services to the patients with musculoskeletal diseases and injuries. The key areas of specialization include conservative and surgical treatment of injuries and degenerative changes in the limbs, joints, pelvis and spine. The department is certified by the German Trauma Society (DGU) and has an SAV certificate, which indicates the excellent achievements of the medical facility in the treatment of injuries of any severity. The department performs most surgical interventions using minimally invasive and endoscopic surgical techniques, thanks to which the patients can regain their mobility and return to their usual daily life in the shortest possible time. The department's experienced surgeons perform more than 6,000 operations annually, including particularly complex ones. About 3,000 inpatients and more than 20,000 outpatients receive medical care here every year. The department has 90 beds.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology offers the full range of diagnostic and therapeutic services in its areas of specialization. The key areas of work of the department's doctors include large joint arthroplasty, arthroscopic interventions on the knee, hip, and shoulder joints, conservative and surgical treatment of foot and hand diseases and deformities, rheumatic joint lesions, orthopedic diseases in children, and musculoskeletal injuries. The key to successful clinical practice is the professionalism and unique experience of the department's medical team, combined with the advanced infrastructure and state-of-the-art equipment. The department has 5 operating rooms equipped with the latest technology. Most surgical interventions are performed using minimally invasive techniques, due to which, in the shortest possible time, the patient is verticalized, their mobility is restored, and a pronounced pain syndrome is excluded. The department annually performs more than 4,500 surgical interventions, including especially complex ones, so the specialists at the medical facility are rightfully proud of their impressive clinical experience in the surgical treatment of orthopedic diseases. Over the years, the department has gained an excellent reputation not only in Germany but also far beyond its borders.
Department of Adult and Pediatric Orthopedics
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital regularly demonstrates high treatment success rates, takes an active part in the training of medical students, and works tirelessly on promising research projects. The university hospital consists of 29 specialized departments and 16 scientific institutes, where more than 7,000 highly qualified employees work for the benefit of their patients. More than 55,000 inpatients and about 300,000 outpatients are treated here every year. The hospital has 1,274 beds. The medical team of the hospital is focused on providing personalized medical services using the most modern and sparing diagnostic and treatment methods.
Department of Adult and Pediatric Orthopedics, Traumatology
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of modern medicine. A distinctive feature of the hospital is the presence of unique therapeutic methods for the treatment of complex and rare clinical cases.
Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics
According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics ranks among the top German medical facilities specializing in the treatment of orthopedic diseases in adults and children, as well as in hip surgery! The department offers the full range of medical services in these medical fields. It carries out both diagnostics and treatment of patients of all age groups, including very elderly patients, with various musculoskeletal diseases. The therapeutic options include both conservative and surgical treatment methods. The department is distinguished by high professionalism of doctors, advanced infrastructure and invaluable experience in the field of its specialization, due to which it occupies leading positions in the European medical arena and guarantees an optimal treatment result.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery and Hand Surgery
According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery and Hand Surgery is one of the best medical facilities in Germany in its areas of specialization! The department offers its patients modern conservative and surgical treatment of diseases of the musculoskeletal system. The department's priority specialties include knee and hip surgery, including primary and revision arthroplasty, surgical interventions on the spine, shoulder and elbow surgery, operations for musculoskeletal malignancies, and treatment of traumatic injuries of varying severity. The department enjoys a reputation as one of the largest and most reputable medical complexes of its kind in Germany, where more than 8,200 inpatients are treated every year. The department's medical team successfully performs more than 8,500 surgical procedures each year in 8 high-tech operating rooms, which testifies to the excellent qualifications and vast experience of the healthcare facility's specialists. The department also provides medical care for young patients with special emphasis on the treatment of hip dysplasia, slipped capital femoral epiphysis, Perthes disease, scoliosis, osteomyelitis, and benign bone neoplasms. The medical institution has exceptional competence in the treatment of bone and soft tissue sarcomas – certification as a specialized center by the German Cancer Society (DKG). In addition, the department has the status of an interregional Trauma Center in the Berlin and Brandenburg area, certified by the German Trauma Society (DGU).
Department of Adult and Pediatric Orthopedics, Foot Surgery
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annually admits more than 65,000 inpatients for diagnostics and treatment, and about 250,000 outpatients receive effective medical care. The hospital also performs more than 40,000 surgical procedures every year, and about 2,100 babies are born here annually.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics is the center of maximum orthopedic care and offers the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. Along with the full range of modern operative and conservative orthopedics, the department specializes in hip and knee replacement surgery using the minimally invasive methods, replacement/revision of prostheses, orthopaedic oncology, foot surgery and patella problems in the patella.
Department of General Orthopedics and Orthopedic Oncology
The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics offers the full range of modern diagnostics and treatment of diseases, deformities of the musculoskeletal system in patients of all age groups. The priority task of all specialists of the department is to preserve the mobility of the patient and improve the quality of his life. In the field of surgical treatment, the main focus is on joint arthroplasty, resection of musculoskeletal tumors, as well as surgical correction of spinal defects and pathologies. In addition, the department specializes in the treatment of sports injuries.
Department of Orthopedics and Traumatology
According to the Focus magazine, the Department of Orthopedics and Traumatology ranks among the top German departments specializing in joint replacement surgery! The department specializes in the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. The therapeutic options include both conservative and surgical treatments. The department has 5 modern operating rooms, which meet stringent hygienic standards and a high technological level (for example, 2D and 3D X-rays, navigation systems, surgical microscopes, etc.). Also, it is possible to perform operations on an outpatient basis.
Sarcoma of the femur is a dangerous high-grade tumor, but the clinics in developed countries can successfully cure it in most patients. The most important stage of the treatment is surgery. The tumor is completely removed. The obtained bone tissue defect is usually replaced by a endoprosthesis in order to preserve limb function and restore the patient's working capacity after surgery.
How is the treatment carried out?
The standard treatment for sarcoma of the femur at any stage where surgery is possible is as follows:
- Diagnostic surgery. It can be performed to obtain a small sample of the tumor, which is sent for histological examination. This surgical intervention is performed so that the doctor can make sure that the detected formation is indeed a malignant tumor. In addition, it is important to determine the histological type to understand whether chemotherapy is required before the surgical treatment of sarcoma of the femur. It is not performed for low-grade osteosarcoma.
- Chemotherapy. It can be performed only in high-grade oncological process. This is the majority of clinical cases, since mildly aggressive osteosarcomas are rare. The course of chemotherapy lasts 10 weeks before the doctor can begin operative therapy. This is required to reduce the size of the sarcoma of the femur and destroy the cancer cells, which could have spread in the body.
- Radical operation. It can be performed to remove the neoplasm. It is important to remove it completely, indenting from the edge and capturing the healthy tissues. The doctor strives to find the perfect balance in removing as less healthy tissues as possible, thereby avoiding significant functional impairments, but still indenting to keep a sufficient distance in order to minimize the risk of tumor recurrence.
- Rehabilitation. It is required for the restoration of the function of the operated limb, if it is preserved (sometimes the sarcoma of the femur is treated by means of leg amputation). Without rehabilitation measures, a person will completely lose his working capacity. The rehabilitation begins literally from the first days after the operation. Depending on the amount of performed intervention, the patient's age and ambitions, it can set different goals. On average, the rehabilitation process for the restoration of the ability to self-care lasts up to 6 months, whereas the rehabilitation for the recovery of working capacity takes 12 months or more. At the advanced stages of rehabilitation, the patient should develop professional skills and complex movements, which require neuromuscular coordination.
What types of operations can be performed?
The treatment of osteosarcoma does not have standard approaches to surgical tactics. These tumors have different sizes, with different location, they grow into different tissues (nerves, tendons, large vessels, etc.). Therefore, each clinical case is unique. It requires the extensive experience and years of proven skills from the surgeon.
There are two main surgical approaches to the treatment of femoral sarcoma:
- Amputation.
- Organ-preserving operation.
Amputation is technically simpler and gives a better chance of complete cure, but leads to disability, and therefore it is less preferred. Whenever possible, the doctors of the best foreign Orthopedic Centers strive to preserve a limb. Thus, they only remove the tumor with the indentation towards healthy tissues, but not the entire leg.
The operation always results in a bone defect. It can be replaced in one of the following two ways:
- Transplantation of another bone from the donor area.
- Implantation of a endoprosthesis.
In osteosarcoma with location on the femur, a tissue defect can be quite extensive. Therefore, tumor endoprostheses are often applied. These are "artificial bones" which are embedded and grow into the adjacent bone tissue of a patient. Based on the characteristics of the defect, they have the necessary shape.
Operation results
Osteosarcoma is one of the most malignant tumors, which can occur in the human body. Given this fact, the treatment results of this disease can be considered as very successful. In developed countries, the overall five-year patient survival rate reaches 60%. It is the highest at the localized stage – 77%.
The chances of curing the disease by means of surgical techniques are very high. Such results became possible due to the following measures:
- early onset of symptoms – the bones in the osteosarcoma area begin to hurt, the patient visits the clinic and the tumor is detected at the initial stage;
- high-quality operations – the doctors of the best clinics in the world perform surgical intervention so as to preserve the maximum possible volume of bone tissue, but completely remove the tumor;
- additional treatment methods – at least this is chemotherapy, sometimes radiation therapy can be applied as well.
The surgery will be followed by the examination for the presence of tumor cells of the resection margins. Should they be detected, this will be the reason for repeated surgery or a course of radiation therapy.
The worst survival rate is at the advanced stage of osteosarcoma, when distant metastases occur. Within 5 years after the establishment of the diagnosis in developed countries, 27% of patients are still alive, but even such results are much better than in many other types of malignant tumors, in which five-year survival may not exceed 5%.
Osteosarcoma can be radically treated even at the advanced stage, which gives a real chance of complete recovery. If the primary tumor is resectable, and the metastatic foci are single and not large, they can be removed. The subsequent long-term chemotherapy reduces the risk of relapse by means of destroying tumor cells throughout the body.
Treatment in the best clinics in the world with the Booking Health company
To undergo surgical treatment of sarcoma of the femur, you can contact one of the best foreign clinics. The Booking Health company will help you to organize your trip. We provide the following services and benefits:
- Selection of the best Orthopedic Center, whose doctors specialize in the surgical treatment of osteosarcoma.
- Reduced costs for medical procedures. Your savings will be up to 50% of the total cost of the program due to the absence of coefficients and overpricing for foreign patients.
- Booking the appointment on the most suitable dates for you.
- Preparation of a treatment program for sarcoma of the femur, taking into account previously performed examinations.
- Establishment of communication with the specialists of the clinic.
- Monitoring of the program at all its stages.
- Control of invoices and return of unspent funds.
- Buying and forwarding of medicines.
- Organization of additional diagnostic, therapeutic procedures or rehabilitation.
- Communication with the clinic upon the treatment completion.
The Booking Health company provides top-class services. We will book a room at a hotel and airline tickets for you, meet you at the airport and take you to the hotel or medical facility.
