title: Staged Soft Tissue Reconstruction Following Sarcoma Excision with Anticipated Large Cutaneous Defects: An Oncologically Safe Alternative.
abstract: We hypothesized that select patients undergoing planned soft tissue sarcoma (STS) excision with anticipated skin and soft tissue deficits could be treated with a two stage surgical procedure which would allow some flexibility in coverage options while not significantly increasing local recurrence rate or wound complication rate.
  
  
  
  A retrospective review was undertaken in a series of consecutive patients with a minimum 2-year follow-up treated by a single orthopedic oncologist and a single reconstructive plastic surgeon who were managed with a staged approach STS excision and reconstruction.
  
  
  
  There were 73 patients identified over a ten-year period that underwent staged STS excision and soft tissue reconstruction. There were 12 (16%) initial positive margins resected to negative final margins, and a variety of coverage procedures performed. Wound complication rate was 21%. Local recurrence rate was 11%.
  
  
  
  Staged STS excision and reconstruction is an acceptable tool in the armamentarium of the orthopedic oncologist for managing major soft tissue deficits without an increase in local recurrence rates.
authors.affiliation: Wayne State University Department of Orthopaedic Surgery.
authors.forename: Geoffrey W
authors.initials: GW
authors.lastname: Siegel
authors.affiliation: University of Michigan Section of Plastic Surgery.
authors.forename: William M
authors.initials: WM
authors.lastname: Kuzon
authors.affiliation: University of Michigan Department of Orthopaedic Surgery.
authors.forename: Jill M
authors.initials: JM
authors.lastname: Hasen
authors.affiliation: University of Michigan Department of Orthopaedic Surgery.
authors.forename: J Sybil
authors.initials: JS
authors.lastname: Biermann
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012509:Sarcoma / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult