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CC BY-NC-ND 4.0 · Indian J Plast Surg 2019; 52(01): 055-061
DOI: 10.1055/s-0039-1688101
Review Article
Association of Plastic Surgeons of India

Sarcoma of the Lower Limb: Reconstructive Surgeon's Perspective

Zhixue Lim
1   Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore, Singapore
,
Sophia A. Strike
1   Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore, Singapore
,
Mark E. Puhaindran
1   Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore, Singapore
› Author Affiliations
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Publication History

Publication Date:
08 May 2019 (online)

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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.

Keywords

sarcoma - lower extremity - reconstruction - vascularised bone graft - soft tissue reconstruction
 

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