Longitudinal tendon splitting: a simple technique.

Orthopaedic surgeons are frequently confronted with the problem of joint contractures and the need for tendon lengthening. We describe a simple reproducible technique for longitudinal splitting of a tendon. We use this method for Z-lengthenings and split tendon transfers and recommend its use to other surgeons.

Limb salvage tumor surgery in children.

Limb salvage tumor surgery in children is quite popular. Low local recurrence rates and patient survival statistics prove it is a viable option for many patients. We review the major changes in medicine and paramedical fields that have allowed limb salvage to develop. We then discuss patient selection, limb salvage goals, review the surgical staging system, and examine common errors in evaluating a tumor patient. A discussion (with case examples) of various surgical options and a brief look at some current trends is then presented.