In the oncology section of this issue of Orthopedic Clinics of North America , we explore two topics commonly encountered by orthopedic surgeons – wound complications and bone metastases, where the experience of orthopedic oncologists might be particularly helpful.
Due to the combination of large incisions and large tissue defects, sometimes in the setting of previous radiation therapy, orthopedic oncologists necessarily become adept in the management and healing of complex wounds. In “Management of Open Wounds: Lessons from Orthopedic Oncology,” Dr Herrick Siegel shares his experience and his techniques, including negative pressure wound dressings, silver-coated dressings, and hyperbaric oxygen therapy while drawing on literature published by others and his group at the University of Alabama at Birmingham Medical Center, where he is Professor of Surgery and Section Head of Orthopaedic Oncology.
In “The Practicing Orthopedic Surgeon’s Guide to Managing Long Bone Metastases,” Dr Felix Cheung assembles a clear and understandable guide for surgical decision-making in the setting of known or suspected bone metastases, incorporating stratification schemes such as the Mirel score, along with anatomy-specific case vignettes. Dr Cheung is currently Associate Professor and Chief, Orthopaedic Oncology at Marshall University, Joan C. Edwards School of Medicine in Huntington, West Virginia. Patients with metastatic bone lesions can be challenging for practicing orthopedic surgeons; hopefully this article can make these consultations simpler.