SOFT-TISSUE MANAGEMENT WITH IMMEDIATE FREE FLAP TRANSFER IN SEGMENTAL PROSTHETIC REPLACEMENT OF PROXIMAL TIBIA SARCOMAS


Sonmez E. , Kamburoglu H. O. , AKSU A. E. , NASIR S. N. , Evrenos M. K. , ŞAFAK T. , ...Daha Fazla

MICROSURGERY, cilt.31, sa.8, ss.620-627, 2011 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 31 Konu: 8
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1002/micr.20937
  • Dergi Adı: MICROSURGERY
  • Sayfa Sayıları: ss.620-627

Özet

Knee reconstruction with endoprosthesis after tumor resection is accepted as superior when compared with the other methods. But sometimes soft tissue reconstruction would be a challenging problem in this way of treatment. Five patients who were operated for tumor resection in this location, followed by reconstruction were presented with their one-year post operative results. Four latissimus dorsi and one rectus abdominis myocutaneous free flaps were used in these patients in order to manage soft tissue problems. All patients underwent chemotherapy in postoperative period. All flaps were successful in one year post operative examination. In this report we would like to stress the importance of surgical planning and soft tissue reconstruction of a specific patient population. We think that large musculocutaneous flaps such as latissimus dorsi and rectus abdominis musculocutaneous flaps should be preferred in soft tissue reconstruction of knee region after tumor resection followed by prosthetic replacement. Additionally, this way of treatment is superior when compared to the other methods in order to prevent complications such as prosthesis exposure or infection. (C) 2011 Wiley Periodicals, Inc. Microsurgery 31: 620-627, 2011.