title: Saving grace: distally pedicled gracilis muscular flap in lower limb salvage.
abstract: During the 1970s, the incidence of limb amputation following surgery for sarcoma excision was as high as 50%. Two important developments have led to modern day limb salvage, namely chemotherapy and precision imaging techniques. We present a case of limb salvage in a patient with osteosarcoma plagued with recurrent infection after prosthetic revision. We discuss the use of the distally based pedicled gracilis muscular flap, which has little mention as a reconstructive option for defects around the knee.
authors.affiliation: Plastic & Reconstructive Surgery Department, Royal Free Hampstead NHS Foundation Trust, Royal Free Hospital, London, UK.
authors.forename: Kavit
authors.initials: K
authors.lastname: Amin
authors.affiliation: Plastic & Reconstructive Surgery Department, Royal Free Hampstead NHS Foundation Trust, Royal Free Hospital, London, UK.
authors.forename: Marlese
authors.initials: M
authors.lastname: Dempsey
authors.affiliation: Plastic & Reconstructive Surgery Department, Royal Free Hampstead NHS Foundation Trust, Royal Free Hospital, London, UK.
authors.forename: Shadi
authors.initials: S
authors.lastname: Ghali
authors.affiliation: Plastic & Reconstructive Surgery Department, Royal Free Hampstead NHS Foundation Trust, Royal Free Hospital, London, UK.
authors.forename: Adriaan
authors.initials: A
authors.lastname: Grobbelaar
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005269:Femur; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D018482:Muscle, Skeletal / Q000637:transplantation*; D012516:Osteosarcoma / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013848:Thigh
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