Adjuvant local treatment of parosteal osteosarcoma

Abstract

Four patients with parosteal osteosarcoma of the distal femur were treated by resection and insertion of cement. The resection was marginal in 3 patients and intralesional in one. The histology was grade 1 in 3 and grade 2 in one. The cement was subsequently removed and a fibular autograft used for reconstruction. The average follow up was 88 months (range 20 to 161 months). The function of the affected limb was excellent. The best time to remove the cement was after one year.