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New research · Oncology
Annals of plastic surgery · 1d
Cohort studyAnnals of plastic surgery · 2026

Immediate Soft-Tissue Reconstruction in Pediatric Limb-Salvage Extremity Tumor Surgery: Patterns and Outcomes From NSQIP-Pediatric, 2012-2023.

Michael B Amrami, Alexander F Dagi, Lee D Yang, Jarrod T Bogue
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OncologyCohort study

Immediate reconstruction in pediatric lower extremity limb-salvage is associated with higher odds of complications.

Immediate Soft-Tissue Reconstruction in Pediatric Limb-Salvage Extremity Tumor Surgery: Patterns and Outcomes From NSQIP-Pediatric, 2012-2023.

Michael B Amrami et al. · Annals of plastic surgery · 2026
Methods

We identified 4500 limb-salvage cases (LE, 4295; UE, 205).

Results

immediate reconstruction is associated with higher odds of short-term complications

OR by subgroup · 95% CI
null = 1
immediate reconstruction
3.48
ASA III to IV classification
2.17
More results

The ACS NSQIP-Pediatric database (2012 to 2023) was queried for pediatric upper extremity (UE) and lower extremity (LE) oncologic excisions using comprehensive CPT codes spanning all anatomic levels.

Bone tumors comprised 94.8% of cases, with 87.7% undergoing simple excisions.

More results

Overall, 159/4500 (3.5%) underwent immediate reconstruction, including 134/4295 (3.1%) LE cases and 25/205 (12.2%) UE cases.

In the lower extremity cohort, immediate reconstruction was associated with higher rates of short-term morbidity.

“
Conclusion

These findings provide benchmark data for case selection, perioperative counseling, and future orthoplastic outcomes research.

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