Diagnosis
Osteosarcoma of the distal femur (distal femoral osteosarcoma). Bipulmonary lung metastases (metastatic osteosarcoma to the lungs)
Patient:
Pediatric patient, 10 years old, Kazakhstan
Physician:
Prof. Dr. Jendrik Hardes, Head of the Department of Orthopedic Oncology, Essen University Hospital
Surgical Opinion & Treatment Plan:
In my opinion, intra-articular tumor resection of the distal femur is feasible in this case. Subsequent limb reconstruction can be performed using a specialized modular endoprosthesis. Given the patient’s young age, an expandable (growing) motorized endoprosthesis is recommended to accommodate future bone growth. The final decision regarding the exact surgical approach will be made following a comprehensive direct clinical evaluation.
As an alternative surgical option—considering the child's age—rotationplasty (Van Nes rotationplasty) can also be considered. However, the motorized expandable endoprosthesis remains the preferred primary recommendation.
Estimated Cost of Surgical Treatment: €50,000