title: Soft-tissue management with immediate free flap transfer in segmental prosthetic replacement of proximal tibia sarcomas.
abstract: 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.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara/Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Sönmez
authors.forename: Haldun Onuralp
authors.initials: HO
authors.lastname: Kamburoǧlu
authors.forename: Ali Emre
authors.initials: AE
authors.lastname: Aksu
authors.forename: Serdar Nazif
authors.initials: SN
authors.lastname: Nasir
authors.forename: Mustafa Kürşat
authors.initials: MK
authors.lastname: Evrenos
authors.forename: Tunç
authors.initials: T
authors.lastname: Şafak
authors.forename: Abdullah
authors.initials: A
authors.lastname: Keçik
mesh_terms: D000293:Adolescent; D000328:Adult; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001859:Bone Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000098:blood supply*; D006085:Graft Survival; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery / Q000637:transplantation; D012516:Osteosarcoma / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000601:surgery; D013977:Tibia / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult