Sarcoma of the lower limb: Reconstructive surgeon's perspective

Zhixue Lim, Sophia A. Strike, Mark E. Puhaindran

Research output: Contribution to journalReview articlepeer-review

Abstract

Management of sarcomas in the lower extremities have evolved from amputations to limb-preserving surgeries with evidence to support that they have equal overall survival, albeit with better functional outcome. The challenge of reconstruction lies in providing a durable, functional, and aesthetically pleasing limb. However, limb-preserving intention should not delay interventions that provide a survival benefit such as chemotherapy and radiotherapy. The advent of radiotherapy and chemotherapy also has implications on wound healing and should be considered during the reconstructive process. This article reviews the methodical approach, reconstructive strategies, and considerations for the reconstructive surgeon with respect to the lower extremity after sarcoma excision.

Original languageEnglish (US)
Pages (from-to)55-61
Number of pages7
JournalIndian Journal of Plastic Surgery
Volume52
Issue number1
DOIs
StatePublished - 2019
Externally publishedYes

Keywords

  • Graft soft tissue
  • Lower extremity
  • Reconstruction
  • Reconstruction
  • Sarcoma
  • Vascularised bone

ASJC Scopus subject areas

  • Surgery

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