|
KMID : 0613320080140010033
|
|
Journal of the Korean Bone and Joint Tumor Soceity
2008 Volume.14 No. 1 p.33 ~ p.43
|
|
|
Reconstruction after Wide Excision of Malignant Soft Tissue Tumor in Ankle and Foot
|
|
Kwon Young-Ho
Cho Yool
Kim Jae-Do
Jung So-Hak
|
|
|
Abstract
|
|
|
Purpose: To evaluate the clinical usability of reconstructive methods, and how to select flap after wide excision of malignant soft tissue tumor in ankle and foot.
Materials and Methods: The 15 cases shown in the 14 patients (In case of a male patient, reconstruction was performed two times due to local recurrence.) with malignant soft tissue tumor in ankle and foot, who underwent reconstruction after wide excision from March 2000 until March 2007. Oncologic, surgical and functional results were evaluated.
Results: The method of reconstruction used were anterolateral thigh perforator flap (5cases), Reversed superficial sural artery flap (4 cases), dorsalis pedis flap (3 cases), local flap (3cases). The defect, mean size was 5.5×5.7 cm, was reconstructed with rotation flap or free flap, mean size was 5.9×6.0 cm, skin graft for remnant. The mean operation time was 310 minutes (120~540 minutes); it took 256 minutes to reconstruct by rotation flap, and 420 minutes by free flap. As oncologic results, 7 patients were no evidence of disease, 6 patients were alive with disease and 1 patient was expired by pulmonary metastasis at the time of the last follow-up. 4 patients had local recurrence and 4 pateints had distant metastases. As functional results, 14 patients were evaluated with average score of 68.8% using the system of the Musculoskeletal Tumor Society.
Conclusion: The dorsalis pedis and reverse superficial sural artery rotation flap which is easy procedure, has less complication and takes short operation time, can be primarily considered to reconstruct a small defect. And the anterolateral thigh perforator flap is suitable for coverage of a large defects after wide excision of malignant soft tissue tumor in ankle and foot.
|
|
|
KEYWORD
|
|
|
Ankle, Foot, Malignant soft tissue tumor, Reverse superficial sural artery flap, Anterolateral thigh perforator flap
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|