gms | German Medical Science

Objectives: Sarcomas are malignant mesenchymal tumors with the majority located within the myofascial compartments of the extremities. Although the term sarcoma reflects a diverse and ever-changing array of histologic subtypes [1], their common surgical management includes wide excision and radiotherapy; the use of chemotherapy has been reserved for advanced disease [2]. While sarcomas of the extremities traditionally resulted in amputation at various levels, limb preservation has become a standard approach. Sarcomas are best treated in multidisciplinary specialized centers that have experience with functional limb preservation, have demonstrated low rates of local recurrence and good rates of overall survival [2]. Complex soft tissue and bony defects following sarcoma resection present a challenge to the reconstructive plastic surgeon with the main goals of preserving form and function.

Method: The authors will present a variety of clinical cases with complex upper extremity reconstruction following sarcoma resection. Case presentations will include the uncommon event of fibular physeal transfer in the pediatric patient population [3] and the "spare parts" principle in palliative reconstructions [4].

Results: Results and Conclusion: Advanced oncoplastic surgery has become an important consideration in the interdisciplinary planning and overall management of upper extremity sarcomas, including limb preservation and the maintenance of form and function.