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This Concept Map, created with IHMC CmapTools, has information related to: Case4Osteosarcoma, L LE Strength Flex Exr Add Abd Interventions Single Leg Bridging, Limb Salvage Reconstruction (Malawer, MuskCancer Surgery, 2001) includes Autograft, Allograft, Classifications/ Staging many staging One staging system is NOT preferred over another, L LE Strength Flex Exr Add Abd Interventions Sidelying Abd, Ext, Pre Prosthetic Training Candidate Contant Follow up (Location/Distance), L LE ROM Hip Flex/Ext Add/Abd IR/ER Interventions (talk to MD about restrictions) Work with patient to try and counter "depressive thoughts", OSTEOSARCOMA details Classifications/ Staging, Classifications/ Staging 3 types ENNEKING "SURGICAL STAGING SYSTEM" (American Cancer Society) Low Grade, Diagnosis Differential Dx Enlarged Lymphnodes is Osteomyelitis NOT Osteosarcoma (ACS, St Jude's), Possibe Interventions DISCUSSION Problem Solving Approach, Anxious & Ambivalent DISCUSSION Guilt of not carrying on tradition, Pediatric Side Effects can include Myelosuppresion, Inhibited DISCUSSION Depression of loss of limb and future, Pre Prosthetic Training Candidate Co Morbidities, Limb Salvage Reconstruction (Malawer, MuskCancer Surgery, 2001) still growing? DISCUSSION: what happen if the child isn't done growing? Expaning implants (only 4-5 cm), future surgeries, can lead to infections, Pediatric Side Effects can include Problems with Growth & Development, L LE Strength Flex Exr Add Abd Interventions UE Exercises for AD use/ADLs, L LE ROM Hip Flex/Ext Add/Abd IR/ER Interventions (talk to MD about restrictions) Laying Prone, towel under residual limb, Pre Prosthetic Training Candidate $$$, Pre Prosthetic Training Candidate Safety