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Lower extremity reconstruction
Author(s) -
Heller Lior,
Kronowitz Steven J.
Publication year - 2006
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20485
Subject(s) - medicine , adjuvant radiotherapy , amputation , surgery , multidisciplinary approach , multidisciplinary team , reconstructive surgery , resection , overall survival , radiation therapy , social science , nursing , sociology
The current recommendation for surgical treatment of tumors of the lower extremity is a limb‐sparing resection. Limb‐sparing resection coupled with complex reconstructive techniques and complemented by new chemotherapeutic agents and adjuvant radiation therapy has allowed us to achieve survival rates that are comparable to those of amputation with a better functional outcome. Recent advances in microsurgical techniques and the associated technologies and a better understanding of microvascular anatomy has allowed us to customize flaps to the specific needs of the patients and to achieve a lower donor site morbidity. Increased communication between the specialties of the multidisciplinary treatment team has also improved outcomes. The reconstructive component has become an integral part of the multidisciplinary care for patients with lower extremity tumors. It not only allows them to rapidly resume adjuvant therapies but also enables them to more easily resume their activities of daily living. J. Surg. Oncol. 2006;94:479–489. © 2006 Wiley‐Liss, Inc.