Limb Salvage Surgery: Procedure, Risks, Recovery & Results

Published in : Orthopedics | December 8, 2025 |

Limb Salvage Surgery: Procedure, Risks, Recovery & Results

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Limb Salvage Surgery is a highly advanced surgical procedure designed to remove bone or soft tissue tumours, especially in conditions like osteosarcoma, while preserving as much of the patient’s limb as possible. This operation aims to save the arm or leg, maintaining function and appearance without compromising cancer control.

What Is Limb Salvage Surgery?

Limb Salvage Surgery, also known as limb-sparing surgery, is a surgical approach used to remove cancerous tumours or infected bone tissue without amputating the affected limb. The primary goal is to remove the tumour completely while preserving the limb’s structure, function, and appearance.

In cases of limb salvage osteosarcoma, surgeons meticulously excise the tumour along with a margin of healthy tissue to prevent recurrence. The removed section is then reconstructed using prosthetics, bone grafts, or metal implants to restore stability and function.

This complex procedure requires coordination among specialists in oncology, orthopaedics, vascular surgery, and plastic reconstruction, ensuring optimal results for patients.

When Is Limb Salvage Surgery Recommended?

Limb salvage operations are typically performed for patients diagnosed with bone or soft tissue sarcomas, osteosarcoma, or Ewing’s sarcoma. It may also be recommended in cases of severe trauma, infection, or vascular disease, where the goal is to avoid amputation.

Common Indications:

  • Bone cancers such as osteosarcoma, chondrosarcoma, or Ewing’s sarcoma
  • Soft tissue sarcomas affecting muscles or connective tissue
  • Severe bone infections (osteomyelitis)
  • Complex fractures with vascular injury
  • Failed joint replacements requiring reconstruction

Each case is carefully evaluated through imaging tests, biopsies, and clinical assessments before deciding whether limb salvage is a feasible and safe option.

How Limb Salvage Surgery Works

The limb salvage operation is a multi-stage process involving tumour removal, reconstruction, and rehabilitation.

1. Preoperative Evaluation

Patients undergo detailed imaging studies such as MRI, CT scans, PET scans, and angiography to assess tumour size, location, and involvement of nearby blood vessels and nerves. The surgical team, including the best oncologist in Bangalore and vascular experts, plan the approach to maximise tumour removal and limb preservation.

2. Tumour Resection

The surgeon removes the cancerous bone or tissue along with a small margin of healthy tissue to ensure complete excision. If nearby blood vessels or nerves are involved, vascular and endovascular surgery may be performed to repair or reconstruct them.

3. Limb Reconstruction

Once the tumour is removed, the limb is reconstructed using one or more of the following:

  • Endoprosthesis (metal implant): A custom-designed metallic prosthesis replaces the removed bone segment.
  • Bone grafts: Healthy bone is taken from another part of the body or a donor to reconstruct the affected limb.
  • Allograft-prosthesis composite: Combines donor bone with a metal prosthesis for strength and flexibility.
  • Soft tissue reconstruction: Plastic surgeons restore muscles and skin to maintain limb function and appearance.

4. Postoperative Care

After surgery, the limb is immobilised to allow healing. Physiotherapy begins gradually to restore strength, mobility, and coordination.

Risks and Complications of Limb Salvage Surgery

Although limb salvage surgery offers excellent outcomes, it is a complex procedure with potential risks. These risks depend on the tumour type, size, and the patient’s overall health.

Common Risks Include:

  • Infection: Surgical sites and implants can become infected, requiring antibiotics or further intervention.
  • Implant Failure: Prosthetic components may loosen or break over time, necessitating revision surgery.
  • Delayed Healing: Poor blood supply or tissue damage can slow down recovery.
  • Recurrence of Cancer: Despite complete tumour removal, there is a small risk of recurrence at the same site.
  • Nerve or Blood Vessel Injury: Rare but possible, particularly in cases involving large or complex tumours.
  • Reduced Limb Function: Some patients may experience stiffness, weakness, or limited motion despite successful surgery.

At SPARSH Hospitals, our multidisciplinary team ensures every precaution is taken to minimise risks through advanced surgical planning and postoperative monitoring.

Limb Salvage Surgery Recovery

Recovery after a limb salvage operation varies from patient to patient, depending on the extent of surgery, reconstruction method, and overall health.

1. Hospital Stay

Most patients stay in the hospital for 1–2 weeks after surgery for close observation and wound care.

2. Physical Rehabilitation

Physiotherapy is crucial for restoring mobility and strength. Exercises focus on joint movement, muscle control, and gait training. Rehabilitation can last several months but is essential for regaining independence.

3. Wound Care and Monitoring

Patients must follow strict wound care protocols and attend follow-up appointments to ensure proper healing and detect any early signs of infection or implant complications.

4. Lifestyle Adjustments

Adopting a healthy lifestyle with balanced nutrition, smoking cessation, and regular low-impact exercise helps speed up recovery and enhance long-term limb function.

5. Emotional Support

Recovery from limb salvage surgery can be physically and emotionally challenging. Psychological counselling and patient support groups can help patients adapt and regain confidence.

Results and Long-Term Outlook

The success rate of limb salvage surgery has improved significantly with advancements in surgical techniques and prosthetic materials. Today, over 90% of bone cancer patients are eligible for limb-sparing procedures, achieving excellent survival and functional outcomes.

Benefits of Limb Salvage Surgery:

  • Preservation of limb appearance and mobility
  • Reduced psychological trauma compared to amputation
  • Improved quality of life and faster rehabilitation
  • Long-term cancer control with lower recurrence rates

At SPARSH Hospitals, the collaboration between orthopaedic oncologists, vascular surgeons, and rehabilitation specialists ensures patients receive holistic care throughout their journey—from diagnosis to recovery.

Why Choose SPARSH Hospitals for Limb Salvage Surgery in Bangalore

SPARSH Hospitals is one of the few centers in India with dedicated expertise in Musculoskeletal Oncology and Vascular and Endovascular Surgery. Our state-of-the-art surgical facilities, advanced imaging technology, and multidisciplinary approach make us a leading destination for limb salvage surgery in Bangalore.

Our Expertise Includes:

  • Advanced tumour resection and reconstruction
  • Custom limb prosthesis design and fitting
  • Post-surgical rehabilitation and physiotherapy
  • Comprehensive oncology and vascular care

Expert consultation with the best oncologist and vascular surgeon in Bangalore

When to Consult a Doctor

If you or your loved one has been diagnosed with osteosarcoma, bone cancer, or a complex limb injury, it’s crucial to consult a specialist early. At SPARSH Hospitals, our experts evaluate each case individually to determine if limb salvage is a safe and effective alternative to amputation.

To schedule a consultation, visit SPARSH Hospitals – Bangalore’s trusted centre for orthopaedic oncology and vascular surgery.

Conclusion

Limb Salvage Surgery represents a breakthrough in modern surgical oncology, offering patients a chance to retain their limbs and lead active, fulfilling lives. With expert surgical care, advanced technology, and comprehensive rehabilitation, patients can achieve remarkable outcomes. SPARSH Hospitals continues to pioneer excellence in limb salvage operations, ensuring patients receive world-class treatment and compassionate care.

Frequently Asked Questions

What is Limb Salvage Surgery?

Limb Salvage Surgery is a procedure to remove bone or soft tissue tumours without amputating the affected limb. It preserves the limb’s function and appearance.

Who needs Limb Salvage Surgery?

Patients with bone cancers like osteosarcoma or those with severe trauma or infection may benefit from this surgery.

How long does recovery take?

Recovery typically takes 6–12 months, depending on the surgery’s complexity and the patient’s rehabilitation progress.

Is limb salvage better than amputation?

In most cases, limb salvage offers better physical and emotional outcomes, as it preserves mobility and body image.

Can cancer return after limb salvage?

There is a small chance of recurrence, which is why regular follow-ups and imaging tests are crucial.


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