Conclusions
Currently, limb salvage is achievable in a high proportion of bone
sarcomas. However, some patients will undergo further amputations
secondary to tumor recurrence, mechanical failure, infections, and
fractures. The tibial turn-up plasty is a sound option for those
patients presenting with massive femoral bone loss or tumor
involvement.
This procedure aims to achieve a longer and more functional femoral
stump, facilitating prosthesis fitting and providing less impact on the
gait pattern.
There are numerous modifications to the original technique, adapting the
reconstruction according to the severity and localization of the femoral
bone loss. There is needed more studies to establish if there is any
superiority of the surgical modifications.
This procedure is a last-resort reconstructive option with frequent
reoperations; however, most patients can ambulate during the follow-up
with good functional outcomes.