title: [Long-term functional results after sarcoma resection].
abstract: Multimodal treatment of malignant tumors of the musculoskeletal system with R0 in sano resection plays a key role in prevention of local recurrence in soft tissue and bone sarcoma. In cases of unavoidable neuromuscular or osseous defects, current plastic and orthoplastic reconstruction techniques avoid limb amputation in the majority of patients. Clinical long-term results demonstrate that large resection defects do not necessarily result in impaired limb function if multidisciplinary procedures are integrated. In oncologically necessary major limb amputation, segmental resection and replantation of distal limb parts should be considered which provide end-bearing long stump formation. The functional conditions of long-term surviving elderly patients should be integrated into surgical decision-making and rehabilitation efforts.
authors.affiliation: Klinik für Unfallchirurgie/Plastische Chirurgie, Sarkomzentrum am Westdeutschen Tumorzentrum CCC, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufeland Str. 55, 45147, Essen, Deutschland, Hans-Ulrich.Steinau@uk-essen.de.
authors.forename: H-U
authors.initials: HU
authors.lastname: Steinau
authors.forename: J
authors.initials: J
authors.lastname: Hauser
authors.forename: F
authors.initials: F
authors.lastname: Farzaliyev
authors.forename: L
authors.initials: L
authors.lastname: Podleska
mesh_terms: D000203:Activities of Daily Living / Q000145:classification / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical / Q000523:psychology; D001859:Bone Neoplasms / Q000473:pathology / Q000523:psychology* / Q000601:surgery*; D003131:Combined Modality Therapy / Q000523:psychology; D003299:Cooperative Behavior; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D023821:Limb Salvage / Q000523:psychology; D008875:Middle Aged; D009367:Neoplasm Staging; D019637:Orthopedic Procedures / Q000523:psychology; D010348:Patient Care Team; D011183:Postoperative Complications / Q000175:diagnosis* / Q000517:prevention & control; D011379:Prognosis; D011788:Quality of Life / Q000523:psychology*; D012092:Replantation / Q000523:psychology; D012509:Sarcoma / Q000473:pathology / Q000523:psychology* / Q000601:surgery*; D055815:Young Adult