Surgical management of primary bone sarcomas

Effective chemotherapy regimens have changed the nature and scope of surgical management of primary sarcomas of bone. Limb-salvage surgical procedures are performed in the majority of patients without a significantly increased risk of local tumor relapse. Advances in technology have expanded the options available for skeletal reconstruction. End-result analyses have helped refine the application of this technology to maximize function. Further advances are necessary to maintain function in the long term.