J Reconstr Microsurg 2013; 29(02): 107-112
DOI: 10.1055/s-0032-1329920
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Outcomes Analysis of the Role of Plastic Surgery in Extremity Sarcoma Treatment

Nikhil Agrawal
1   Department of Plastic Surgery, Ohio State University, Columbus, Ohio
,
Dinah Wan
2   Department of Plastic Surgery, UT Southwestern, Dallas, Texas
,
Zachary Bryan
3   Department of General Surgery, University of Indiana, Indianapolis
,
James Boehmler
1   Department of Plastic Surgery, Ohio State University, Columbus, Ohio
,
Mike Miller
1   Department of Plastic Surgery, Ohio State University, Columbus, Ohio
,
Pankaj Tiwari
1   Department of Plastic Surgery, Ohio State University, Columbus, Ohio
› Author Affiliations
Further Information

Publication History

29 May 2012

24 August 2012

Publication Date:
20 December 2012 (online)

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Abstract

Over the past 5 years we have developed a multidisciplinary service for the treatment of extremity sarcoma. This service includes orthopedic oncology, neurosurgery, medical and radiation oncology, and plastic surgery. Prior to 2007, the role of plastic surgery in this multidisciplinary team was limited. After 2007, plastic surgery at our institution played an increasingly integral role in multidisciplinary care. Based on the development of the plastic surgery service at our institution, we were able to evaluate the role of plastic surgery in the outcomes following extremity reconstruction after sarcoma resection. We hypothesize that plastic surgery involvement would reduce the amputation rate without altering recurrence rates. We found a decrease in lower-extremity amputation of approximately 20% without any significant change in recurrence rates. The incidence of infectious complications requiring IV antibiotics decreased by about 20%. The incidence of skin graft loss decreased by 75%. We do report a significant increase in partial flap necrosis. Overall, plastic surgery is an essential component of the multidisciplinary team in the care of extremity sarcoma.