Soft-tissue reconstruction after soft-tissue sarcoma resection: the clinical outcomes of 24 patients.
Extremities
Flap reconstruction
Resection
Sarcomas
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
07
12
2020
accepted:
08
02
2021
pubmed:
21
2
2021
medline:
12
1
2022
entrez:
20
2
2021
Statut:
ppublish
Résumé
Pedicle or free-flap reconstruction is important in surgical sarcoma management. Free flaps are indicated only when pedicle flaps are considered inadequate; however, they are associated with a higher risk of flap failure, longer surgical times, and technical difficulty. To determine the skin defect size that can be covered by a pedicle flap, we investigated the clinical outcomes and complications of reconstruction using pedicle flaps vs. free flaps after sarcoma resection. We retrospectively studied the medical records of 24 patients with soft-tissue sarcomas who underwent reconstruction using a pedicle (n = 20) or free flap (n = 4) following wide tumour resection. All skin defects of the knee, lower leg, and ankle were reconstructed using a pedicle flap. Skin defects of the knee, lower leg, and ankle were covered by up to 525 cm Less blood loss, shorter surgical time, and lower risk of total flap necrosis are notable advantages of pedicle flaps over free flaps. Most skin defects, even large ones, of the lower extremities following sarcoma resection can be covered using a single pedicle flap or multiple pedicle flaps.
Identifiants
pubmed: 33608754
doi: 10.1007/s00590-021-02901-9
pii: 10.1007/s00590-021-02901-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-10Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS part of Springer Nature.
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