Published 3/12/2025
Orthopaedic oncology in Egypt has come a long way since its sporadic beginnings prior to the 1990s. The practice truly began to take shape with the establishment of a multidisciplinary team at Cairo University in 1993, which brought together orthopaedic surgeons, clinical oncologists, pathologists, radiologists, and physiotherapists. This collaborative approach laid the foundation for the development of orthopaedic oncology services in the country.
Evolution of limb salvage surgery in Egypt
Over the past 30 years, limb salvage surgery has gained popularity as a preferred treatment for patients with bone and soft tissue tumors. This shift from the traditional approach of amputation to limb salvage has been driven by advancements in both biological and endoprosthetic reconstructive modalities.
In Egypt, a limited-resource country, there is a strong reliance on biological reconstructions, which are favored for their cost-effectiveness and the skill required rather than financial investment. These techniques include the use of bone grafts, vascularized fibula grafts, recycling, and bone transport methods. The expertise of Egyptian surgeons in these biological modalities has significantly contributed to the high success rates of limb salvage surgeries.
Current landscape of orthopaedic oncology in Egypt
Today, more than 12 university hospitals across Egypt offer orthopaedic oncology services. With a population of 120 million, the demand for these services is substantial, with many patients requiring treatment for bone and soft tissue tumors. The widespread availability of specialized care ensures that patients have access to the latest treatments and technologies. Multidisciplinary care continues to be a cornerstone of orthopaedic oncology, ensuring comprehensive and holistic treatment for patients.
Opportunities for collaborative research
Given the high number of patients treated, Egypt presents a unique opportunity for collaborative research and projects with centers in the USA known for their financial capability and technological advancements. Such collaborations can lead to improved patient outcomes and advancements in the field of orthopaedic oncology.
Looking ahead
As orthopaedic oncology in Egypt continues to evolve, the emphasis on research, education, and collaboration remains paramount. The dedication of healthcare professionals and the ongoing advancements in medical technology promise a bright future for patients with bone and soft tissue tumors in Egypt.
Walid Ebeid, MD, is professor and chair of the orthopaedic department at Cairo University in Cairo, Egypt.