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Main treatment for limb sarcomas is surgical resection with negative tumoral margins. In cases in which tumor removal requires limb amputation, tissues free of infiltration can be used as flaps – be they free or pedicled – with reconstructive aim or to obtain an optimal proximal stump, according to “spare parts surgery” concept. The application of these strategies avoids causing additional donor-site morbidity with a reconstructive objective, as well as facilitating the subsequent process of prosthetization and functional rehabilitation. This article aims to review the main techniques encompassed in this concept, incorporating our own-experience tips on its surgical approach.

The Spare Parts Concept in Sarcoma Surgery: A Systematic Review of Surgical Strategies