Comparison of flap reconstruction for soft tissue sarcomas of the foot and ankle

2021 ◽  
Author(s):  
Katherine E. Mallett ◽  
Matthew T. Houdek ◽  
Rachel L. Honig ◽  
Karim Bakri ◽  
Peter S. Rose ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Flap Reconstruction ◽  
Foot And Ankle

Flap Reconstruction of Sarcoma Defects in the Setting of Neoadjuvant and Adjuvant Radiation

2018 ◽  
Vol 35 (04) ◽  
pp. 287-293 ◽  
Author(s):  
Rohini Kadle ◽  
Catherine Motosko ◽  
George Zakhem ◽  
John Stranix ◽  
Timothy Rapp ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Soft Tissue ◽  
Radiation Treatment ◽  
Soft Tissue Sarcomas ◽  
Adjuvant Radiation ◽  
Complication Rates ◽  
Flap Reconstruction ◽  
Fasciocutaneous Flaps ◽  
Musculoskeletal Tumor Society

Background Limb-sparing treatment of extremity soft tissue sarcomas requires wide resections and radiation therapy. The resulting complex composite defects necessitate reconstructions using either muscle or fasciocutaneous flaps, often in irradiated wound beds. Methods A retrospective chart review was performed of all limb-sparing soft tissue sarcoma resections requiring immediate flap reconstruction from 2012 through 2016. Results Forty-four patients with 51 flaps were identified: 25 fasciocutaneous and 26 muscle-based flaps. Mean defect size, radiation treatment, and follow-up length were similar between groups. More often, muscle-based flaps were performed in younger patients and in the lower extremity. Seventeen flaps were exposed to neoadjuvant radiation, 12 to adjuvant radiation, 5 to both, and 17 to no radiation therapy. Regardless of radiation treatment, complication rates were comparable, with 28% in fasciocutaneous and 31% in muscle-based groups (p < 0.775). Muscle-based flaps performed within 6 weeks of undergoing radiotherapy were less likely to result in complications than those performed after greater than 6 weeks (p < 0.048). At time of follow-up, Musculoskeletal Tumor Society scores for fasciocutaneous and muscle-based reconstructions, with or without radiation, showed no significant differences between groups (mean [SD]: 91% [8%] vs. 89% [13%]). Conclusion The similar complication rates and functional outcomes in this study support the safety and efficacy of both fasciocutaneous flaps and muscle-based flaps in reconstructing limb-sparing sarcoma resection defects, with or without radiotherapy.

Benefits Associated With Early Diagnosis and Treatment of Soft Tissue Sarcomas of the Foot and Ankle

2016 ◽  
Vol 55 (5) ◽  
pp. 980-984 ◽  
Author(s):  
Drew Murray ◽  
Jacob Topfer ◽  
Alexander P. Decilveo ◽  
James C. Wittig
Keyword(s):  
Soft Tissue ◽  
Early Diagnosis ◽  
Soft Tissue Sarcomas ◽  
Diagnosis And Treatment ◽  
Foot And Ankle

scholarly journals Limb salvage for soft-tissue sarcomas of the foot and ankle

2010 ◽  
Vol 92-B (3) ◽  
pp. 424-429 ◽  
Author(s):  
G. L. Cribb ◽  
S. C. S. Loo ◽  
I. Dickinson
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Soft Tissue Sarcomas ◽  
Foot And Ankle

Predictors of oncologic outcome in patients with and without flap reconstruction after extremity and truncal soft tissue sarcomas

2020 ◽  
Vol 73 (7) ◽  
pp. 1239-1252 ◽  
Author(s):  
Mehran Dadras ◽  
Pascal Koepp ◽  
Christoph Wallner ◽  
Johannes M Wagner ◽  
Alexander Sogorski ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Oncologic Outcome ◽  
Flap Reconstruction

Soft Tissue Sarcomas of the Foot and Ankle: Recommendations Based on a Retrospective Series Treated by a Single Surgeon

2016 ◽  
Vol 223 (4) ◽  
pp. e151-e152
Author(s):  
Drew E. Murray ◽  
Alexander P. Decilveo ◽  
Ivan Golub ◽  
James C. Wittig
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Foot And Ankle

Soft Tissue Sarcomas of the Foot and Ankle: Impact of Unplanned Excision, Limb Salvage, and Multimodality Therapy

2008 ◽  
Vol 29 (7) ◽  
pp. 690-698 ◽  
Author(s):  
Mihir M. Thacker ◽  
Benjamin K. Potter ◽  
J David. Pitcher ◽  
H Thomas. Temple
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Soft Tissue Sarcomas ◽  
Multimodality Therapy ◽  
Foot And Ankle ◽  
Unplanned Excision

scholarly journals ‘Beware the lump in the foot!’: predictors of recurrence and survival in bone and soft-tissue sarcomas of the foot and ankle

2014 ◽  
Vol 84 (7-8) ◽  
pp. 533-538 ◽  
Author(s):  
Andrew Salipas ◽  
Michelle M. Dowsey ◽  
Deborah May ◽  
Peter F. M. Choong
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Foot And Ankle ◽  
Predictors Of Recurrence
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