Functional evaluation after reconstruction with myocutaneous and fasciocutaneous flaps for conservative oncological surgery of the extremities

Annals of Surgical Oncology
Bernardo RivasLuis F Oñate-Ocaña

Abstract

Limb-preservation surgery has evolved during the last two decades through application of pedicled and free flaps and has obtained oncological results similar to those with amputation for malignant neoplasms of the extremities. However, functional evaluation has not been performed comprehensively after these advanced reconstructive procedures. The aim of this study was to describe the oncological, surgical, and functional outcomes achieved in these patients. Patients had malignant neoplasms of the extremities and/or shoulder and hip girdle, underwent resective surgery and reconstruction with limb-preservation purposes, and were treated from 1997 to 2002. Survival analysis was performed, and functional evaluation after resection was performed with the Enneking system 1 year after surgery. Thirty-two patients were included. The mean overall survival of the cohort was 5.6 years. Functional evaluation mean rating percentages for the upper and lower extremities were 86.5% and 75.2%. Functional outcomes were better for reconstruction with free flaps than with pedicled flaps in the lower extremities (rating percentages, 67% and 79.6%, respectively; P = .018). Limb-preservation surgery is a safe treatment for malignant neoplasms. It can...Continue Reading

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Citations

Mar 16, 2006·Annals of Surgical Oncology·Grant W Carlson
Jun 2, 2011·Microsurgery·Vincenzo PennaHolger Bannasch
Jun 27, 2017·International Journal of Surgery Case Reports·Noha M Al-QattanRajeev Pant
Jan 10, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Vasileios A KontogeorgakosBrian E Brigman
Nov 28, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A MisraF Peart

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