Limb Salvage and Reconstructive Procedures in Soft Tissue Sarcomas of the Extremities

  • H. U. Steinau
  • R. Büttemeyer
  • P. Vogt
  • J. Hussmann
  • D. Hebebrand
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 138)


Limb-sparing resection in combination with irradiation and/or chemotherapy is nowadays recommended as the treatment of choice in soft tissue sarcomas of the extremities, delivering survival rates which are comparable to those after amputation and a better quality of life (Arlen and Marcove 1987; Lawrence 1987; Okunieff and Suit 1986; Shiu et al. 1986; Steinau et al. 1988; Suit et al. 1987; Wexler et al. 1988).


Soft Tissue Sarcoma Limb Salvage Epithelioid Sarcoma Sarcoma Subtype Fascia Flap 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Arbeit JM, Hilaris BS, Brennan MF (1987) Wound complications in the multi-modality treatment of extremity and superficial truncal sarcomas. J Clin Oncol 5:480–486PubMedGoogle Scholar
  2. Arien M, Marcove RC (1987) Surgical management of soft tissue sarcomas. Saunders, PhiladelphiaGoogle Scholar
  3. Bell RS et al. (1989) The surgical margin in soft-tissue sarcoma. J Bone Joint Surg [Am] 71:370Google Scholar
  4. Bryant M, Martinez A, Pritchard D, Sim F, Shives T, Schromberg P (1985) Soft tissue sarcomas of the extremities: morbidity of combined radiation and limb salvage. Int J Radiat Oncol Biol Phys 11:87–92CrossRefGoogle Scholar
  5. Chen ZW (1982) Microsurgery. Springer, Berlin Heidelberg New York EnnekingGoogle Scholar
  6. Enneking WF, Maale GE (1990) The effect of inadvertent tumor contamination of wounds during the surgical resection of musculosceletal neoplasms. Cancer 198(62): 1251Google Scholar
  7. Fisher SV, Gullickson G (1987) Energy cost of ambulation in health and disability: a literature review. Arch Phys Med Rehabil 59:124Google Scholar
  8. Han CS, Wood MB, Bishop AT, Cooney WP (1992) Vascularized bone transfer. J. Bone Joint Surg [Am] 74(10): 1441–1449Google Scholar
  9. Harii K (1983) Microvascular free flaps for skin coverage. Clin Plast Surg 10:37–44PubMedGoogle Scholar
  10. Heckler FR (1989) Current thoughts on extravasation injuries. Clin Plast Surg 16:557PubMedGoogle Scholar
  11. upiter JB, Tsai T, Kleinert HE (1982) Salvage replantation of lower limb amputations. Plast Reconstr Surg 69:1CrossRefGoogle Scholar
  12. Krag DN, Klein H, Schneider D, Goodnight E (1991) Composite tissue transfer in limb-salvage surgery. Arch Surg 126:639–641PubMedGoogle Scholar
  13. Lawrence W (1987) Adult soft tissue sarcoma: a pattern of care survey of the American College of Surgeons. Ann Surg 205:349–357PubMedCrossRefGoogle Scholar
  14. Mankin HJ, Lange TA, Spanier SS (1982) The hazards of biopsy in patients with malignant primary bone and soft-tissue tumors. J Bone Joint Surg [Am] 64:1121Google Scholar
  15. Markhede G, Stener B (1981) Function after removal of various hip and thigh muscles for extirpation of tumors. Acta Orthop Scand 52:373–384PubMedCrossRefGoogle Scholar
  16. Miller LB (1987) Resection of tumors in irradiated fields with subsequent immediate reconstruction. Arch Surg 122:461PubMedGoogle Scholar
  17. Okunieff P, Suit HD (1986) Extremity preservation and multimodality treatment of sarcomas in the hand and wrist. Int Radist Oncol Biol Phys 12:1923–1929CrossRefGoogle Scholar
  18. Owens JC (1985) Soft tissue sarcomas of the hand and foot. Cancer 55:2010–2016PubMedCrossRefGoogle Scholar
  19. Shiu MH, Collin CH, Hilaris BS, Novi D, Hajdu SJ, Brennan MF (1986) Limb preservation and tumor control in the treatment of popliteal and antecubital soft tissue sarcomas. Cancer 57:1632–1637PubMedCrossRefGoogle Scholar
  20. Skibber JM, Lotze MT, Seipp CA, Salcedo R, Rosenberg SA (1987) Limb-sparing surgery for soft tissue sarcomas. Wound-related morbidity in patients undergoing wide local excision. Surgery 102:447PubMedGoogle Scholar
  21. Steinau HU, Biemer E (1985) Plastisch chirurgische konstruktionsmöglichkeiten bei gliedmaßenerhaltender Resektion maligner Weichgewebstumoren der Extremitäten. Chirurg 56:741–751PubMedGoogle Scholar
  22. Steinau HU et al. (1984) Mikrochirurgischer Muskellappentransfer zur Deckung ausgedehnter Strahlenulcera. In: Lemperle G (ed) Chirurgie der Strahlenfolgen. Urban and Schwarzenberg, MunichGoogle Scholar
  23. Steinau HU, Ehrl H, Biemer E (1988) Reconstructive plastic surgery in soft tissue sarcomas of the extremities. Eur J Plast Surg 11:99–105CrossRefGoogle Scholar
  24. Steinau HU, Hebebrand D, Hussmann J (1993) Rekonstruktionsmöglichkeiten nach erweiterter Resektion maligner Weichgewebsgeschwülste. Chirurg 64:517–526PubMedGoogle Scholar
  25. Stener B (1971) Amputation through the lower thigh with removal of the adductor and hamstring muscles. Clin Orthop 80:133–139PubMedGoogle Scholar
  26. Suit HD, Mankin HJ, Wood WC, Schiller AL, McNulty P (1987) Conservative surgery and radiation treatment for soft tissue sarcomas of the extremities, torso, and head and neck region. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New YorkGoogle Scholar
  27. Usui M, Ischii S (1986) Microvascular reconstructive surgery in soft tissue sarcoma and malignant bone tumors. J Reconstr Microsurg 2:77PubMedCrossRefGoogle Scholar
  28. Weiland AJ, Moore JR, Daniel RK (1983) Vascularized bone autografts: experience with forty-one cases. Clin Orthop 174:87PubMedGoogle Scholar
  29. Weinberg H, Kenan S, Lewis MM, Hausman MR, Vickery CB, Bloom ND (1993) The role of microvascular surgery in limb-sparing procedures for malignant tumors of the knee. Plast Reconstr Surg 92(4):692–698PubMedCrossRefGoogle Scholar
  30. Wexler AM, Eilber FR, Miller TA (1988) Therapeutic and functional results of limb salvage to treat sarcomas of the forearm and hand. J Hand Surg [Am] 13:292CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • H. U. Steinau
    • 1
  • R. Büttemeyer
    • 1
  • P. Vogt
    • 1
  • J. Hussmann
    • 1
  • D. Hebebrand
    • 1
  1. 1.Department of Plastic SurgeryBG-University HospitalBochumGermany

Personalised recommendations