Reconstructive approaches to oncologic upper and lower extremity resection in pediatric populations: A retrospective NSQIP-P analysis of 428 patients

Tumors of the soft tissue and bone in the upper and lower extremities are more common in pediatric populations than the general adult population and often require surgical resection or amputation. This retrospective study characterizes reconstructive approaches to such cases and subsequent postopera...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2025-03, Vol.102, p.167-175
Main Authors: Kim, Dylan K., Gu, Kathleen, Tyler, Wakenda K., Rohde, Christine H., Bogue, Jarrod T.
Format: Article
Language:English
Subjects:
Lower extremity
NSQIP
Pediatric
Reconstruction
Sarcoma
Upper extremity
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Summary:Tumors of the soft tissue and bone in the upper and lower extremities are more common in pediatric populations than the general adult population and often require surgical resection or amputation. This retrospective study characterizes reconstructive approaches to such cases and subsequent postoperative outcomes. All oncologic upper and lower extremity resection or amputation cases from 2013–2022 were identified in the NSQIP Pediatric database. Reconstructive approaches for each case were characterized. The main outcome of interest was the occurrence of ≥1 postoperative complication. Predictors of flap reconstruction and predictors of postoperative complications were assessed with stepwise logistic regression (p
ISSN:1748-6815
1878-0539
1878-0539
DOI:10.1016/j.bjps.2025.01.035