What to expect from tumour removal surgery for osteosarcoma

The orthopaedic oncology team uses imaging to define the tumour in the bone and nearby soft tissues. Many operations preserve the limb by removing the affected section and rebuilding it with a metal implant, bone graft, or another reconstructive method. The exact plan depends on the tumour's position, response to other treatment, blood vessels, nerves, joints, and the amount of healthy tissue that can be preserved.

In some situations, removing the limb is recommended because it offers safer control or better function than reconstruction. The removed tissue is examined after surgery. Pain, swelling, limited movement, and reduced strength are expected early concerns, and physiotherapy usually forms a major part of recovery.

Before admission, ask about chemotherapy timing, fasting, medicine changes, equipment, and the expected weight-bearing limit. Prepare the home for crutches, a frame, or other aids if recommended. Tell the team about dental problems, medicines, allergies, and any new numbness or weakness.

After the operation, protect the incision and reconstruction as instructed. Attend physiotherapy and practise only the exercises approved by the team. Do not put weight through the limb or drive until cleared. Keep follow-up imaging and appointments so the team can assess healing, movement, the implant or graft, and the treated area.

Seek emergency help for sudden chest pain, severe breathlessness, collapse, or a cold, pale, or blue limb. Contact the surgical team promptly for fever, increasing wound redness or drainage, uncontrolled pain, new numbness, loss of movement, calf swelling, or a sudden change in the limb's ability to bear weight. These changes can signal a problem with healing, infection, circulation, or a clot.

Ask whether limb-sparing surgery is suitable, what reconstruction is proposed, and how the operation may affect joints, strength, and mobility. Discuss pain control, weight-bearing stages, physiotherapy, equipment, return to school or work, pathology timing, and the schedule for scans and oncology treatment.