title: Soft Tissue Coverage of the Lower Limb following Oncological Surgery.
abstract: The treatment of lower limb tumors has been shifted by advancements in adjuvant treatment protocols and microsurgical reconstruction from limb amputation to limb salvage. Standard approaches include oncological surgery by a multidisciplinary team in terms of limb sparing followed by soft tissue reconstruction and adjuvant therapy when indicated. For the development of a comprehensive surgical plan, the identity of the tumor should first be determined by histology after biopsy. Then the surgical goal and comprehensive treatment concept should be developed by a multidisciplinary tumor board and combined with soft tissue reconstruction. In this article, plastic surgical reconstruction options for soft coverage of the lower extremity following oncological surgery will be described along with the five clinical cases.
authors.affiliation: Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School , Hannover , Germany.
authors.forename: Christine
authors.initials: C
authors.lastname: Radtke
authors.affiliation: Department of Trauma Surgery, Hannover Medical School , Hannover , Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Panzica
authors.affiliation: Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School , Hannover , Germany.
authors.forename: Khaled
authors.initials: K
authors.lastname: Dastagir
authors.affiliation: Department of Trauma Surgery, Hannover Medical School , Hannover , Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Krettek
authors.affiliation: Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School , Hannover , Germany.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Vogt
keywords: bone sarcoma; limb-sparing surgery; microvascular flap; modular endoprosthetic implantation; soft tissue reconstruction; soft tissue sarcoma