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.