Publications by authors named "D P Hackbarth"

Introduction: Seroma development is a known complication following extremity and trunk soft-tissue sarcoma (STS) resection. The purpose of this study is to evaluate and characterize seroma outcomes and the development of associated complications.

Methods: A retrospective review of 123 patients who developed postoperative seromas following STS resection at a single institution was performed.

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Introduction: Enchondromas and grade 1 chondrosarcomas are commonly encountered low-grade chondroid tumors in the proximal humerus. While there is a concern for malignant transformation, few studies have evaluated the natural history of these lesions. The purpose of this study is to evaluate the natural history of proximal humerus low-grade chondroid lesions managed both conservatively and surgically, and to define management criteria using clinical and radiographic findings for these low-grade chondroid lesions.

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Introduction: Conventional treatment of pulmonary metastatic sarcoma primarily involves surgery, with systemic therapy added in select patients. However, broader applications of radiation therapy techniques have prompted investigation into the use of stereotactic body radiotherapy (SBRT) for treatment of metastatic sarcoma, an attractive non-invasive intervention with potential for lower rates of adverse events than surgery. Current data are limited to retrospective analyses.

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Lower extremity wounds associated with fractures and bony defects often require secondary orthopedic procedures after flap coverage has been performed. In this study, we compare complications between muscle and fasciocutaneous flaps after secondary orthopedic procedures. A retrospective chart review study of all lower extremity soft tissue reconstructions by a single surgeon over seven years yielded a subgroup of patients who underwent secondary orthopedic procedures, including hardware removal, hardware revision, and bone grafting after flap reconstruction.

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Article Synopsis
  • Management of adult soft tissue sarcomas involves a multidisciplinary approach, using preoperative hypofractionated radiation therapy at a dose of 35 Gy in 5 fractions, followed by surgical resection.
  • A phase II clinical trial with 32 patients showed no local recurrences after a median follow-up of 36.4 months, with 3-year overall survival at 82.2% and distant metastasis-free survival at 69%.
  • The study indicates that this treatment yields high local control and survival rates with manageable toxicity, suggesting the need for further randomized trials to validate these results.
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