Abstract
Management of sarcomas in the lower extremities have evolved from amputations to limb-preserving
surgeries with evidence to support that they have equal overall survival, albeit with
better functional outcome. The challenge of reconstruction lies in providing a durable,
functional, and aesthetically pleasing limb. However, limb-preserving intention should
not delay interventions that provide a survival benefit such as chemotherapy and radiotherapy.
The advent of radiotherapy and chemotherapy also has implications on wound healing
and should be considered during the reconstructive process. This article reviews the
methodical approach, reconstructive strategies, and considerations for the reconstructive
surgeon with respect to the lower extremity after sarcoma excision.
Keywords
sarcoma - lower extremity - reconstruction - vascularised bone graft - soft tissue
reconstruction
