Establishing a Musculoskeletal Oncology Unit: Teamwork Triumphs!!!

Abstract The establishment of a dedicated Musculoskeletal Oncology Unit within a healthcare system requires meticulous planning, coordination, and collaboration among diverse medical professionals. A multidisciplinary team approach is essential for delivering comprehensive, patient-centered care to individuals diagnosed with musculoskeletal malignancies. Integrating orthopaedic oncology into existing oncology services enhances clinical care, addressing the needs of patients with musculoskeletal tumours and providing supportive/palliative care for skeletal lesions from other primary tumours. Core members of a successful unit typically include orthopaedic surgeons, medical and radiation oncologists, radiologists, pathologists, physical therapists, and specialized nursing staff. Additionally, integrating supportive disciplines such as nutritionists, social workers, and palliative care specialists is crucial for addressing the multifaceted needs of patients. Reconstruction and rehabilitation are vital for restoring patient function. Establishing an MSK Oncology Unit within an existing oncology framework optimizes the use of shared diagnostic services like radiology, onco-pathology, nuclear imaging, and therapeutic services, providing a cost-effective model. The Department of Orthopaedic Oncology requires team members who can provide care in the operating theatre, surgical ward, and emergency departments. Given the complexity of bone and soft tissue tumour surgeries, access to surgical intensive care and blood bank support is essential. Coordinating diverse professionals presents challenges due to differing expertise and priorities, but a cohesive multidisciplinary team can yield transformative benefits. Moreover, advancements in medical technology—such as modular operating theatres, navigation equipment, 3D imaging techniques, and custom implant manufacturing—are shaping the future of personalized care in Musculoskeletal Oncology. This article summarizes our experience in establishing a MSK Oncology Unit at a tertiary cancer care level, asserting that the concept of a free-standing orthopaedic oncologist is a myth, as the foundation of this department is rooted in teamwork.