{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T09:12:15Z","timestamp":1768209135285,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Limb\u2010sparing surgery and amputation are common surgical techniques used to achieve local tumour control in childhood primary bone and soft tissue malignancy of the limbs. The interpretation of post\u2010operative limb imaging in these frequently complex cases is assisted by knowledge of the surgical techniques employed. This review discusses the rationale underpinning the most common surgical techniques used for these patients as well as their expected post\u2010operative imaging appearance and complications. Amputation, long bone resection, endoprosthetic reconstruction, allograft reconstruction, the use of fibular autografts, allograft\u2010prosthetic composite reconstruction and arthrodesis are discussed.<\/jats:p>","DOI":"10.1111\/1754-9485.13790","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:14:58Z","timestamp":1729469698000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Amputation and limb\u2010sparing surgery in childhood sarcoma: Post\u2010operative imaging appearances and complications"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7147-3959","authenticated-orcid":false,"given":"Joel","family":"Earley","sequence":"first","affiliation":[{"name":"Western Australian Radiology Training Program Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1734-2536","authenticated-orcid":false,"given":"Derek","family":"Roebuck","sequence":"additional","affiliation":[{"name":"Perth Children's Hospital  Nedlands Australia Australia"},{"name":"University of Western Australia  Crawley Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-51160-9","volume-title":"Sarcomas of Bone and Soft Tissues in Children and Adolescents","author":"Arndt CAS","year":"2021"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","DOI":"10.3390\/children9071004","article-title":"Lower\u2010limb amputation in children and adolescents\u2014a rare encounter with unique and special challenges","volume":"9","author":"Horsch A","year":"2022","journal-title":"Children"},{"key":"e_1_2_13_4_1","doi-asserted-by":"crossref","DOI":"10.3390\/cancers13205125","article-title":"Amputation for extremity sarcoma: indications and outcomes","volume":"13","author":"Kirilova M","year":"2021","journal-title":"Cancer"},{"key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1245\/s10434-017-6240-5","article-title":"Amputation for extremity sarcoma: contemporary indications and outcomes","volume":"25","author":"Erstad DJ","year":"2018","journal-title":"Ann Surg Oncol"},{"key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1177\/229255030701500204","article-title":"Forequarter amputation for malignant tumours of the upper extremity: case report, techniques and indications","volume":"15","author":"Dimas V","year":"2007","journal-title":"Can J Plast Surg"},{"key":"e_1_2_13_7_1","volume-title":"Limb Amputation","author":"Jahmani R","year":"2020"},{"key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11832-011-0364-0","article-title":"Transtibial Ertl amputation for children and adolescents: a case series and literature review","volume":"5","author":"Firth GB","year":"2011","journal-title":"J Child Orthop"},{"key":"e_1_2_13_9_1","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20160572","article-title":"Multimodality imaging review of the post\u2010amputation stump pain","volume":"89","author":"Subedi N","year":"2016","journal-title":"Br J Radiol"},{"key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s40141-014-0063-0","article-title":"Residual limb complications and management strategies","volume":"2","author":"Pascale BA","year":"2014","journal-title":"Curr Phys Med Rehabil Rep"},{"key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/9417284","article-title":"Surgical technique and outcome of custom Joint\u2010Sparing Endoprosthesis as a reconstructive modality in juxta\u2010articular bone sarcoma","volume":"2019","author":"Shehadeh AM","year":"2019","journal-title":"J Oncol"},{"key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1177\/10711007211012690","article-title":"Distal tibial reconstruction in the management of primary bone tumors in children and adolescents","volume":"42","author":"Raciborska A","year":"2021","journal-title":"Foot Ankle Int"},{"key":"e_1_2_13_13_1","first-page":"998","article-title":"Noninvasive expandable endoprostheses from reconstruction to skeletal maturity: a surgical technique and lengthening guide","volume":"29","author":"Voskuil RT","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/01.blo.0000223978.36831.39","article-title":"Endoprosthetic reconstruction in 250 patients with sarcoma","volume":"450","author":"Gosheger G","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"418","DOI":"10.2106\/JBJS.J.00834","article-title":"Failure mode classification for tumor endoprostheses: retrospective review of five institutions and a literature review","volume":"93","author":"Henderson ER","year":"2011","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.2106\/JBJS.RVW.O.00013","article-title":"Surgical and functional outcomes after limb\u2010preservation surgery for tumor in pediatric patients. A systematic review","volume":"4","author":"Groundland JS","year":"2016","journal-title":"JBJS Rev"},{"key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1016\/j.ejso.2014.02.241","article-title":"Infective complications following tumour endoprosthesis surgery for bone and soft tissue tumours","volume":"40","author":"Peel T","year":"2014","journal-title":"Eur J Surg Oncol"},{"key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/s00590-020-02699-y","article-title":"Management of infected extremity endoprostheses: a systematic review","volume":"30","author":"Nucci N","year":"2020","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"e_1_2_13_19_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3928\/01477447-20170117-07","article-title":"Periprosthetic fractures in megaprostheses: algorithmic approach to treatment","volume":"40","author":"Savvidou OD","year":"2017","journal-title":"Orthopedics"},{"key":"e_1_2_13_20_1","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1302\/0301-620X.89B5.19039","article-title":"Bone allografts. What they can offer and what they cannot","volume":"89","author":"Delloye C","year":"2007","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_13_21_1","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s11999-015-4353-3","article-title":"What are the risk factors and management options for infection after reconstruction with massive bone allografts","volume":"474","author":"Aponte\u2010Tinao LA","year":"2016","journal-title":"Clin Orthop Related Res"},{"key":"e_1_2_13_22_1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.cuor.2005.08.001","article-title":"The use of massive bone allografts in bone tumour surgery of the limb","volume":"19","author":"Donati D","year":"2005","journal-title":"Curr Orthop"},{"key":"e_1_2_13_23_1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1055\/s-2008-1081406","article-title":"Combined massive allograft and intramedullary vascularized fibula transfer: the Capanna technique for lower\u2010limb reconstruction","volume":"22","author":"Bakri K","year":"2008","journal-title":"Sem Plast Surg"},{"key":"e_1_2_13_24_1","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1177\/1558944719895784","article-title":"Bony hypertrophy in vascularized fibular grafts","volume":"17","author":"Shi LL","year":"2022","journal-title":"Hand"},{"key":"e_1_2_13_25_1","doi-asserted-by":"crossref","first-page":"963","DOI":"10.2214\/ajr.182.4.1820963","article-title":"Imaging of vascularized fibula autograft placed inside a massive allograft in reconstruction of lower limb bone tumors","volume":"182","author":"Manfrini M","year":"2004","journal-title":"Am J Roentgenol"},{"key":"e_1_2_13_26_1","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1302\/0301-620X.97B6.34692","article-title":"The vascularised fibular graft for limb salvage after bone tumour surgery. A multicentre study","volume":"97","author":"Hilven PH","year":"2015","journal-title":"Bone Joint J"},{"key":"e_1_2_13_27_1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1007\/s11999-015-4204-2","article-title":"What is the outcome of allograft and intramedullary free fibula (Capanna technique) in pediatric and adolescent patients with bone tumors","volume":"474","author":"Houdek MT","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_13_28_1","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.ST.15.00010","article-title":"Resurfaced allograft\u2010prosthetic composite for proximal tibial reconstruction in children","volume":"6","author":"Manfrini M","year":"2016","journal-title":"JBJS Essent Surg Tech"},{"key":"e_1_2_13_29_1","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1007\/s00590-021-02995-1","article-title":"Resurfaced allograft\u2013prosthetic composite for distal femur reconstruction in children with bone tumor","volume":"31","author":"Errani C","year":"2021","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"e_1_2_13_30_1","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1097\/BPO.0b013e3181b768ef","article-title":"Resection arthrodesis of the ankle for aggressive tumors of the distal tibia in children","volume":"29","author":"St\u00e9phane S","year":"2009","journal-title":"J Pediat Orthop"},{"key":"e_1_2_13_31_1","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jse.2014.05.023","article-title":"Glenohumeral arthrodesis for malignant tumor of the shoulder girdle","volume":"24","author":"Mimata Y","year":"2015","journal-title":"J Shoulder Elbow Surg"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13790","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:15:10Z","timestamp":1729469710000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,20]]},"references-count":30,"alternative-id":["10.1111\/1754-9485.13790"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13790","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,20]]},"assertion":[{"value":"2024-05-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1754-9485.13790"}}