Being on the Edge of Amputation: Vessel-sparing Approach and Biological Bone Reconstruction in a Toddler with Extremity Rhabdomyosarcoma

Vascular reconstruction leads to surgical difficulties such as acute occlusion and critical leg ischemia in childhood rhabdomyosarcoma (RMS) pressuring on the limb's vascular structures. Finally, amputation is inevitable. Also, use of prostheses to repair bone defects in these cases results in long-term failure or complications such as infection. To avoid a catastrophic problem such as amputation, a vessel-sparing approach and biological bone reconstruction may be a solution in these cases. Here, we present a case of total surgical tumor excision that keeps the native vascular and biologic bone reconstruction in a RMS case involving the left thigh in a two-year-old toddler. Keywords: Rhabdomyosarcoma, limb-salvage, vessel-sparing surgery, soft tissue sarcoma