Abstract
Objective: Perform a narrative review comparing outcomes, such as biopsychological impacts and survival, in patients undergoing amputation or limb salvage surgery. Bibliographic review: Osteosarcoma is a common malignant neoplasm in children and adolescents, located mainly on the ends of long bones such as the tibia and femur. Of the various existing treatments, amputation and salvation of the limb lack studies comparing its outcomes, physical and psychological impacts and its survival. These studies would be able to assist doctors in choosing the most appropriate treatment and with the best results for each patient. Final considerations: Limb salvage has better survival without increasing the risk of local recurrence. However, patients who amputated the limb achieved a gain in physical and psychological well-being when compared to patients who saved the limb. Therefore, this study affirms the need for individualization of treatment in each case, considering the risks, benefits and impacts for each patient.