Table 3.
Patient information
| Patient | Sex | Age | Tumor location | Histology | Tumor grade | Brachytherapy | Radiation | Number of prior excisions | Reconstructive procedure | Complications | Recurrence | Secondary revisions/procedures | Current disease status | TESS score |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | 26 | Right forearm extensor component | Epithelioid sarcoma | 3 | No | Preop, postop | 2 | Non-innervated latissimus free flap; allograft tendons to forearm extensor compartment | None | Yes | Wide local excision of local recurrence; ulnar reconstruction with free fibula flap | Metastatic disease, died of disease | NA |
| 2 | F | 78 | Right biceps | Malignant fibrous histiocytoma | 3 | No | Postop | 5 | Innervated rotational latissimus dorsi pedicle flap for biceps function | Intraoperative brachial artery thrombosis | Yes | Radical resection of local recurrence | Metastatic disease, died of disease | NA |
| 3 | F | 84 | Right forearm flexor pronator group | Malignant fibrous histiocytoma | 3 | No | Preop, postop | 0 | Tendon transfer of the index, long, and ring finger flexor digitorum superficialis to the flexor carpi radialis | Wrist flexor bulge; wrist hyperextension deformity | No | Tenolysis of flexor tendons | Disease free | 61.3 |
| 4 | F | 33 | Left humerus and biceps | Dedifferentiated osteosarcoma | 3 | No | None | 2 | Innervated gracilis myocutaneous free flap for biceps function | Inferior flap epidermolysis | No | Flap debulking | Disease free | 35.3 |
| 5 | M | 29 | Right forearm deep flexor compartment | Synovial cell sarcoma | 3 | Yes | Preop, postop | 0 | Non-innervated latissimus free flap and tendon transfer (palmaris longus to FPL) | None | No | Radio-ulnar joint arthrodesis with iliac bone graft | Disease free | 92.6 |
| 6 | F | 30 | Left biceps | Synovial cell sarcoma | 3 | No | Preop | 1 | Innervated rotational latissimus dorsi pedicle flap for biceps function | Ulnar nerve paresthesias; chronic donor site pain | No | Ulnar nerve decompression and transposition; flap debulking; forearm flexor muscle lengthening; resection of donor site neuroma | Disease free | 98 |
| 7 | F | 75 | Left triceps | Malignant fibrous histiocytoma | 3 | No | Preop | 0 | Innervated rotational latissimus dorsi pedicle flap for triceps function | None | No | None | Disease free | 100 |
| 8 | M | 70 | Left biceps and brachioradialis | Undifferentiated sarcoma with myxoid change | 3 | No | Preop, postop | 0 | Innervated rotational latissimus dorsi pedicle flap for biceps function | Donor site seroma; incisional cellulitis | No | Resection of benign ring finger and antecubital fossa lesions | Disease free | 100 |
| 9 | F | 55 | Left biceps | Malignant fibrous histiocytoma | 3 | No | Preop | 0 | Innervated rotational latissimus dorsi pedicle flap for biceps function | None | No | None | Disease free | NA |
| 10 | F | 38 | Left antecubital fossa and biceps | Dedifferentiated sarcoma | 3 | No | Preop | 0 | Innervated rotational latissimus dorsi pedicle flap for biceps function | None | No | None | Disease free | 98 |
| 11 | F | 67 | Dorsum of left hand | Malignant fibrous histiocytoma | 3 | Yes | Postop | 1 | Rotational radial artery forearm flap; delayed allograft tendon to finger extensors | None | No | None | Disease free | 56.7 |
| 12 | M | 54 | Right wrist | Clear cell sarcoma | 3 | Yes | Postop | 1 | Rotational radial artery forearm flap; allograft tendons to extensor compartment | None | No | Extensor tendon tenolysis | Disease free | 92 |
| 13 | F | 76 | Right radial palm at flexor crease | Inflammatory myofibroblastic sarcoma | 2 | No | None | 0 | Non-innervated lateral arm free flap and allograft tendon for index finger flexion | Tendon rupture | Yes | None | Metastatic disease, alive | 46.7 |