PMID: 9181228Jun 1, 1997Paper

Forequarter amputation with fasciocutaneous deltoid flap reconstruction for malignant tumors of the upper extremity

Annals of Surgical Oncology
C M VolpeConstantine P Karakousis

Abstract

Malignant tumors of the upper extremity involving a considerable portion of the medial axillary wall may require forequarter amputation to achieve gross resection of tumor. These resections frequently leave a large defect, often requiring a split thickness skin graft or free flap to close the wound. To address this problem of wound closure, we have modified our technique and devised a reconstructive component as part of our forequarter amputation procedure. The medical records of seven patients who underwent forequarter amputation and fasciocutaneous deltoid flap reconstruction between 1982 and 1994 were reviewed. All the amputation sites were completely closed with a fasciocutaneous deltoid flap without the use of additional skin grafts or free flaps. After a median follow-up of 12 months, there were no local recurrences. Three patients (43%) are alive and disease free 5, 12, and 19 months after their forequarter amputation. One patient is alive with disease after 14 months. The remaining three patients died of their disease. The fasciocutaneous deltoid flap is technically easy to perform, provides wound coverage without the use of skin grafts, and is especially useful for tumors involving the media axillary wall and in patien...Continue Reading

References

Aug 1, 1991·Journal of Surgical Oncology·J NormanD Reintgen
Oct 1, 1991·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A RydholmT Alvegård
Mar 1, 1990·Archives of Surgery·H J WaneboM Yablonski
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May 1, 1983·Journal of Surgical Oncology·C P Karakousis

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Citations

Jan 10, 2003·The British Journal of Surgery·M A Clark, J M Thomas
Jun 1, 2010·Journal of Surgical Oncology·Constantine P Karakousis
Jan 8, 2000·Plastic and Reconstructive Surgery·N V TranG L Robb
Aug 6, 2003·Plastic and Reconstructive Surgery·Zuolin WangHisazumi Ikeda
Jul 3, 2004·Clinical Orthopaedics and Related Research·Toni FerrarioConstantine P Karakousis
Jun 16, 2009·The British Journal of Surgery·J RickeltA N van Geel
Feb 20, 2016·Plastic and Reconstructive Surgery. Global Open·Miguel de la ParraJesus María Rangel
Sep 13, 2020·International Journal of Surgery Case Reports·Samer Abdel AlHani Al-Najjar

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