Evidence map›Paper›PMID 42192938›Full record

ReviewCancers2026

Appendicular Soft Tissue Sarcoma Surgery in the Era of Orthoplastics.

Inês Leitão, Joaquim Soares do Brito, Miguel Esperança-Martins, Cecília Melo-Alvim, Raquel Lopes-Brás, Daniel Jordão, André Abrunhosa-Branquinho, Filomena Pina, Dolores Lopez-Presa, Luís Vicente Saraiva and 2 more

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Inês LeitãoDepartment of Plastic Surgery, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
Joaquim Soares do BritoDepartment of Orthopedics, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0000-0003-0132-7526
Miguel Esperança-MartinsDepartment of Medical Oncology, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0000-0002-6858-7341
Cecília Melo-AlvimDepartment of Medical Oncology, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0000-0002-8556-6657
Raquel Lopes-BrásDepartment of Medical Oncology, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0000-0002-8976-3199
Daniel JordãoDepartment of Surgery, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
André Abrunhosa-BranquinhoDepartment of Radiotherapy, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0000-0001-8432-0324
Filomena PinaDepartment of Radiotherapy, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
Dolores Lopez-PresaDepartment of Pathology, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
Luís Vicente SaraivaDepartment of Plastic Surgery, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
Arielle TurpinDepartment of Plastic Surgery, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.
José PortelaDepartment of Orthopedics, Unidade Local de Saúde Santa Maria, 1649-028 Lisboa, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Appendicular soft tissue sarcoma (aSTS) is a group of highly heterogeneous tumors of mesenchymal origin for which standard care usually includes surgical resection with or without radiation therapy. The main goal of surgical treatment in aSTS is to achieve wide tumor resection with negative margins while promoting the best function possible for the affected limb. Orthoplastic surgery represents the concept of a multidisciplinary approach comprising a synergistic collaboration between orthopedic and plastic surgeons. The development of this philosophy allows us to push forward the concept of limb salvage surgery for sarcomas, even when dealing with extremely complex cases. Reconstruction techniques integrated with orthoplastic principles range from simple to highly complex surgeries. Vascularized auto- or allo-graft tissue transfers illustrate how far reconstruction options can go, allowing for repair of large soft tissue defects or even restoration of muscle function in key anatomic segments after oncological resection. The reported experience with orthoplastic philosophy in aSTS suggests that it is a feasible and reproducible strategy that can achieve limb salvage rates above 90%, optimal oncologic local control characterized by more than 95% of wide margin resection, and improved functional and esthetic results. Most patients with aSTS treated under orthoplastic principles present good-to-excellent postoperative Musculoskeletal Oncology Society (MSTS) scores, confirming the advantages of this comprehensive approach. While there is significant experience with the orthoplastic approach for trauma cases, the road still needs to be paved for musculoskeletal oncologic reconstruction. Nonetheless, the results are promising and could inspire a wider adoption of structured orthoplastic protocols for sarcoma patient care. Herein, the authors explore the current practice regarding the application of collaborative orthoplastic approaches for the management of appendicular soft tissue sarcomas, reporting on outcomes and elaborating on future trends.

Indexed as

collaborative surgerymultidisciplinary managementorthoplastic approachsoft tissue sarcoma

Identifiers

PMID42192938
PMCPMC13204534

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.