"Analysis of clinical outcomes of upper and lower extremity reconstruct" by Trishul Kapoor MD, Joseph Banuelos et al.
 

Analysis of clinical outcomes of upper and lower extremity reconstructions in patients with soft-tissue sarcoma.

Publication/Presentation Date

9-1-2018

Abstract

BACKGROUND AND OBJECTIVES: Primary amputations have been the standard of treatment for extremity soft tissue sarcomas. However, over the last few decades, this mode of treatment has been increasingly replaced by limb-sparing procedures.

METHODS: A retrospective review of 178 patients with a history of soft-tissue sarcoma who underwent upper or lower extremity reconstructions was conducted. Demographics, tumor characteristics, treatment modalities, type of flap utilized, functional outcomes, and postoperative donor-/recipient-site complications (DSC/RSC) were analyzed. Variables were compared between free and pedicle flaps (FF or PF).

RESULTS: PF reconstructions had a higher rate of DSC (P < 0.044), whereas FF reconstructions had a higher rate of RSC (P < 0.03). Upper extremity reconstruction resulted in a mean QuickDASH score of 5.98 (SD 9.37) with no significant difference between PF and FF. Lower extremity reconstruction resulted in a mean score of 71.2 (SD 10.7) for PF and 71.3 (SD 5.1) for FF on the Lower Extremity Function Scale.

CONCLUSION: Limb-preserving reconstruction with PF and FF is a reliable and safe option after sarcoma resection. In addition, long-term outcomes are promising and reassure the adequate functionality of the limb.

Volume

118

Issue

4

First Page

614

Last Page

620

ISSN

1096-9098

Disciplines

Anesthesiology | Medicine and Health Sciences

PubMedID

30196551

Department(s)

Department of Anesthesiology

Document Type

Article

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