Abdul Rahman, a 7 years old Omani national was diagnosed with a large tumor in the left thigh bone. He was suggested amputation as a surgical option by various hospitals. The boy and his family were extremely disappointed as amputation for a young boy was very disturbing. His family approached International Oncology Centre, Fortis Hospital, Noida with great hopes.
Abdul was investigated for the spread of the cancer and the case was discussed with the team at International Oncology`s Tumor Board represented by a Multidisciplinary team comprising of a Surgical Oncologist, Medical Oncologist, Radiation Oncologist, Orthopaedic Surgeon, Plastic Surgeon and a Pathologist. Abdul`s case was handled by Dr. Jalaj Baxi, Senior Consultant – Surgical Oncology at International Oncology Centre, Fortis Hospital, Noida. It was decided that the child will receive chemotherapy before the surgery and a limb salvage surgery will be done later. There was a moderate response to the chemotherapy and a Limb salvage surgery was planned.
As the tumor was large and a large part of bone was to be removed, a vascularised fibula interposition along with fixation by plate was planned. The patient underwent a successful surgery where the tumor was resected and the vascularised fibula interposition done by plastic surgeon and it was fixed by plate and screws by the orthopaedics surgeon.
The patient was discharged on the eighth post operative day. Patient was put on a schedule for gradual weight bearing under guidance of a physiotherapist. This multidisciplinary team effort could save the limb for this child. The satisfied and thankful eyes of the father speak for the efforts put in. It is expected that the child will be walking on his own in a few weeks time.