27647 Radical resection of tumor; talus or calcaneus

Name of the Procedure:

Radical Resection of Tumor; Talus or Calcaneus
Common name: Tumor Removal Surgery from Ankle Bones

Summary

This surgical procedure involves the complete removal of a tumor located in the talus (ankle bone) or calcaneus (heel bone). The goal is to excise the cancerous or abnormal tissue while preserving as much of the surrounding healthy tissue as possible.

Purpose

The procedure is performed to treat malignant or benign tumors that reside in the talus or calcaneus. The goals are to eliminate cancer, relieve pain, prevent fracture or spread of the tumor, and maintain as much function of the foot as possible.

Indications

• Presence of a confirmed tumor in the talus or calcaneus
• Symptoms such as persistent pain, swelling, or difficulty walking
• Failure of less invasive treatments (e.g., medication or radiation)
• Imaging showing aggressive or large tumors that require surgical intervention

Preparation

• Patients may be asked to fast for 8-12 hours before surgery.
• Preoperative blood tests, imaging studies (like X-rays, MRI, or CT scans), and a physical examination are typically required.
• Adjustments to medications like blood thinners may be necessary.

Procedure Description

1. The patient is administered general anesthesia to ensure they are asleep and pain-free during the procedure.
2. An incision is made over the affected area to access the talus or calcaneus.
3. The surgeon carefully removes the tumor, paying close attention to preserve as much healthy bone and surrounding tissue as possible.
4. In some cases, bone grafts or implants may be used to reconstruct the area after tumor removal.
5. The incision is then closed with sutures or staples, and a sterile dressing is applied.

Duration

The surgery typically takes between 2 to 4 hours, depending on the size and complexity of the tumor removal.

Setting

The procedure is performed in a hospital operating room or a specialized surgical center.

Personnel

• Orthopedic surgeon specialized in foot and ankle surgery
• Operating room nurses
• Anesthesiologist
• Surgical technician

Risks and Complications

• Common: Infection, bleeding, pain, swelling
• Rare: Nerve damage, fracture of the remaining bone, recurrence of the tumor, complications related to anesthesia

Benefits

• Removal of the tumor, potentially reducing or eliminating pain.
• Prevention of tumor spread and fractures.
• Improved functionality and quality of life.

Recovery

• Post-procedure care includes keeping the foot elevated, managing pain with prescribed medications, and routine dressing changes.
• Physical therapy may be recommended to regain strength and mobility.
• Recovery time varies but generally spans several weeks to months, with potential restrictions on weight-bearing activities.
• Follow-up appointments are essential to monitor healing and check for recurrence.

Alternatives

• Radiation therapy: Non-surgical option but may not be as effective for large or aggressive tumors.
• Chemotherapy: Typically used in conjunction with other treatments for malignant tumors.
• Less invasive surgical options: Only suitable for smaller, less aggressive tumors. Pros and cons of alternatives generally revolve around efficacy and potential side effects or risks.

Patient Experience

During the procedure, the patient will be under general anesthesia and not aware of the surgery. Post-surgery, patients may experience pain, which is usually managed with medications. Swelling and limited mobility are common, and pain relief is typically achieved within a few weeks. Comfort measures and rehabilitation support are provided to aid in recovery.