title: Midfoot reconstruction with serratus anterior-rib osteomuscular free flap following oncological resection of synovial sarcoma.
abstract: During recent decades, the concept of surgical treatment of malignant bone and soft tissue sarcomas has evolved, with the aim of preserving limb function. In this paper we report a case of metatarsal reconstruction by means of serratus and rib free flap after excision of a synovial sarcoma located in the dorsal aspect of the midfoot. Five years after the operation, the patient was free from recurrence and recovered full foot function. Amputation has been widely used in the past and this procedure still remains a valuable option when limb salvage is not possible. Nevertheless, in selected cases, reconstruction by means of composite free flaps may be successfully used for limb preservation in the treatment of malignant foot tumors after surgical excision.
authors.affiliation: III Orthopaedic Division, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, Turin, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Battiston
authors.affiliation: IV Orthopaedic Division, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, Via Zuretti 29, 10126, Turin, Italy. stefartiaco@libero.it.
authors.forename: Stefano
authors.initials: S
authors.lastname: Artiaco
authors.affiliation: Oncologic Orthopaedic Division, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, Turin, Italy.
authors.forename: Raimondo
authors.initials: R
authors.lastname: Piana
authors.affiliation: Oncologic Orthopaedic Division, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, Turin, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Boux
authors.affiliation: Microsurgery Unit, Department of Orthopaedics and Traumatology, Orthopaedic and Trauma Center, Turin, Italy.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Tos
mesh_terms: D000328:Adult; D001706:Biopsy; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D005529:Foot Bones; D058752:Free Tissue Flaps; D006801:Humans; D008279:Magnetic Resonance Imaging; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012272:Ribs / Q000637:transplantation*; D013584:Sarcoma, Synovial / Q000601:surgery*
keywords: Foot sarcoma; Microsurgery; Serratus anterior rib composite flap
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