Orthopedic Oncology

Orthopedic Oncology

Advanced Bone & Soft-Tissue Tumor Care —Limb-Salvage, Precision Reconstruction, Optimal Function.

Multidisciplinary sarcoma management, custom 3-D implants, and metastatic bone disease expertise.

We provide comprehensive musculoskeletal oncologic care—from image-guided biopsy and multidisciplinary tumor-board planning to complex resection, microvascular reconstruction, endoprosthetic or allograft reconstruction, and adjuvant therapy coordination. Advanced navigation, intra-operative imaging, and patient-specific 3-D guides ensure maximal tumor clearance with optimal function. Dedicated metastatic-bone-disease pathways integrate interventional radiology ablation, cementoplasty, and targeted systemic therapy.

> 380

bone & soft-tissue tumor cases treated in 2024

92%

limb-salvage rate for extremity sarcomas

<2 weeks

custom 3-D printed implants (design to OR)

Same-day

virtual second-opinion for outside pathology/imaging

Common Conditions & Subspecialty Clinics.

  • Age-adapted chemotherapy regimens 
  • Expandable growing endoprostheses for limb preservation 

  • Combined damage-control orthopedics and oncologic alignment management

  • Custom 3D-printed endoprostheses 
  • Allograft–prosthetic composites 
  • Rotationplasty for pediatric limb tumors 

  • Osteoid osteoma – radiofrequency ablation (RFA) 
  • Diagnosis and treatment of a wide range of eye conditions 
  • Desmoid tumor – conservative and medical therapy 

  • Pathologic fracture fixation 
  • Prophylactic intramedullary nailing 
  • Cementoplasty 
  • Planning for stereotactic body radiotherapy (SBRT) 

  • Liposarcoma 
  • Synovial sarcoma 
  • Undifferentiated pleomorphic sarcoma 
  • Wide local excision with negative margins and soft-tissue reconstruction 

  • Osteosarcoma 
  • Ewing sarcoma 
  • Chondrosarcoma 
  • Adamantinoma 
  • Neoadjuvant chemotherapy coordination and limb-salvage surgery 

Procedures & Treatments.

Molecular pathology (MDM2, EWSR1, SS18 translocations) for subtype confirmation

Angiography/embolization for hypervascular tumors pre-resection

High-resolution CT for cortical involvement and 3-D planning

CT-guided core biopsy with on-site pathologist adequacy check

Whole-body MRI and ¹⁸F-FDG PET-CT for metastasis assessment

Pathologic Fracture Fixation—locking plates, intramedullary nails, modular stems

Microvascular Free-Flap Soft-Tissue Coverage—ALT, latissimus, fibula

Rotationplasty as function-preserving alternative to amputation

Expandable Pediatric Endoprosthesis allowing growth without repeat surgery

Allograft-Prosthetic Composite Reconstruction for joint preservation

3-D-Printed Titanium Endoprostheses—pelvic, scapular, and long-bone replacements

Computer-Navigated Tumor Resection with patient-specific cutting guides

Bisphosphonate or RANK-Ligand inhibitor for skeletal-related-event prevention

Denosumab for giant-cell tumor and bone-metastasis stabilization

Radiofrequency/microwave ablation + cementoplasty for painful metastases

IMRT/VMAT & SBRT for margin boost or unresectable lesions

Neo-adjuvant & adjuvant chemotherapy per EURAMOS/COG protocols

Psychosocial support and vocational reintegration services

Cancer-rehab program—strength, gait training, lymphedema management

Advanced prosthetics-and-orthotics lab for custom bracing/limb devices

Early weight-bearing protocols with physiotherapy

Care Pathway & Coordination.

1
Rapid Referral & Imaging Review

Rapid Referral & Imaging Review

Pathology & imaging reviewed within 48 h; core biopsy scheduled.

2


Sarcoma Tumor Board

Sarcoma Tumor Board

Multidisciplinary plan: surgery, chemo, RT.

3


Pre-op Planning

Pre-op Planning

3-D modeling, implant design, tissue-flap selection.

4


Definitive Surgery / Procedure

Definitive Surgery / Procedure

Limb-salvage resection & reconstruction.

5


Post-Op & Adjuvant Therapy

Post-Op & Adjuvant Therapy

Chemotherapy / RT as per protocol; rehab initiation Day

6


Long-Term Surveillance

Long-Term Surveillance

Imaging at 3-6-month intervals; survivorship clinic for prosthesis monitoring.

Technology & Facilities.

CT-Based 3-D Printing Lab

Patient-specific cutting guides and implants

Intra-operative Navigation & Augmented Reality for margin accuracy

Hybrid OR with Cone-Beam CT

Real-time imaging during resection

Modular Endoprosthesis Inventory

Immediate off-the-shelf options

Multi-axis Isokinetic Strength Testing

Functional outcome tracking

Gait-Analysis Lab

Motion capture to optimize rehabilitation

Patient Stories.

Click Here
A Healing Journey At Burjeel Cancer Institute

A Healing Journey At Burjeel Cancer Institute

Bassam

Multiple Myeloma

Frequently Asked Questions.

Is amputation ever necessary?

With modern imaging, chemotherapy, and reconstruction, limb-salvage is possible in > 90% of cases; amputation is reserved for select scenarios.

How long is recovery after limb-salvage surgery?

Most patients begin weight-bearing within 6–8 weeks and return to daily activities by 3–6 months, depending on tumor location and reconstruction.

Are custom implants durable?

Yes—3-D-printed titanium porous structures show excellent osseointegration and 10-year survivorship comparable to modular systems.

Can metastatic bone lesions be cured?

The goal is pain control and function; combined surgery, ablation, and systemic therapy can provide durable control and improved quality of life.

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Take the first step towards better health with our expert team.

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