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This article briefly describes the evolution of orthopaedic oncology as practised in India over the last two decades. Striking the right balance between adequate resection and functional reconstruction with locally available expertise and resources is a challenging task. Techniques practised by Indian surgeons' have garnered global acceptability, both as durable biological options and cost effective practices in a world which faces ever increasing healthcare budgetary constraints and limitations.Hip fractures in elderly are commonly asso