Quadriceps muscle reconstruction with free functioning latissimus dorsi muscle flap after oncological resection.
BACKGROUND
The concept of limb salvage led to increased demand for more complex and sophisticated reconstructive options to achieve better functional and cosmetic outcome. Reconstruction of the total or partial loss of quadriceps muscle after soft tissue sarcomas excision with free functioning latissimus dorsi muscle transfer had become more popular in the last years.


METHODS
Between November 1993 and October 2004, 11 patients with average age 45.5 years underwent excision of quadriceps muscle followed by simultaneous reconstruction with free functioning latissimus dorsi muscle. There were six men and five women. The tumors were high grade in 90.9% of patients and were >10 cm in 81.8% of patients. The tumor extension required the resection of the entire quadriceps in four cases, of three heads in six cases, of only two heads in one case.


RESULTS
The average follow up was 69 months. The average time of recovery of the contractile activity of the muscle was 8.3 months after operation. The musculoskeletal tumor society rating score (MTSRS) scored excellent or good in 73% of patients. Three patients (27.3%) died of metastatic disease. Local recurrence occurred in one patient (9.1%). Limb salvage was achieved in all the patients (100%).


CONCLUSIONS
This method of reconstruction is a reliable technique not only to fill the defect resulting from oncological resection but also to provide better function. Microsurgical reconstruction of soft tissue sarcoma helps to expand the indications of limb salvage by allowing better local control and achieving adequate function and coverage.
Innocenti
Marco
M
Department of Orthopaedics, Reconstructive Microsurgery Unit, Azienda Ospedaliera Careggi, C.T.O., Florence, Italy. m.innocenti@agora.it
Abed
Yasser Y
YY
Beltrami
Giovanni
G
Delcroix
Luca
L
Balatri
Amerigo
A
Capanna
Rodolfo
R
D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D052097:Quadriceps Muscle; D020127:Recovery of Function; D012189:Retrospective Studies; D012509:Sarcoma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome