The versatility of the free osteocutaneous fibula flap in the reconstruction of extremities after sarcoma resection

World Journal of Surgical Oncology
Alexander D BachRaymund E Horch

Abstract

An understanding of the biology of bone and soft-tissue sarcomas, knowledge of adjuvant therapies and refinement in techniques of reconstructive surgery have allowed limb-sparing and limb salvage surgery to become a reality in the management of malignant tumors of the extremities. Functional limb salvage following radical resection has become a possibility in many resectable tumors by the use of alloplastic prostheses, homograft or autogenous bone for skeletal reconstitution combined with vascularized soft tissue coverage. Although the free fibula flap has been well described for reconstructions of the mandible and oral cavity, it has not been widely presented as an ideal tool to preserve extremities and to circumvent amputation. We describe the complex surgical reconstruction in four patients with primary sarcomas of the extremities. The sarcomas (Ewing's sarcoma, osteosarcoma and epitheloid sarcoma) were resected radically and the massive bone and soft tissue defect was replaced by vascularized free fibula transfer. We present our experience with versatility of this osteocutaneous flap to allow reconstruction and salvage of extremitity sarcomas. There were no operative or postoperative complication and all the four patients h...Continue Reading

References

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Citations

Jun 30, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Jose Tharayil, Rahul K Patil
May 10, 2005·Expert Review of Anticancer Therapy·Mihir M ThackerSean P Scully
Jul 29, 2006·Plastic and Reconstructive Surgery·Thomas KremerMichael Sauerbier
Dec 6, 2005·The Journal of Craniofacial Surgery·Stefan Schultze-MosgauJoern-Dirk Beck
Dec 4, 2009·Strategies in Trauma and Limb Reconstruction·H OzgerL Eralp
Jun 17, 2015·Journal of Hand and Microsurgery·Trung-Hau Le ThuaWilly Boeckx
Dec 13, 2006·The Journal of Bone and Joint Surgery. British Volume·S ShalabyA Bassiony
May 15, 2015·Annals of Plastic Surgery·Mario Francesco Carlo ScaglioniArik Zaretski
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Nov 3, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Akira SaitoSeiichi Matsumoto
Mar 18, 2011·Medicina clínica·Xavier García Del MuroUNKNOWN Grupo Español de Investigación en Sarcomas (GEIS)

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Methods Mentioned

BETA
amputation
dissection
X-ray
biopsy

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