This week we welcome Physical Therapist, Michael McGowan (DPT) to share with Rayner and Smale a unique case study about a complex combination of orthopaedics and oncology. Michael shares his experience managing a patient who following diagnosis of an osteosarcoma, was managed with a 3-part total knee replacement, fibular ORIF and radical resection of the distal femur. A complex orthopaedic procedure indeed, but the most challenging aspect to manage was cancer-related fatigue.