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Complex Biological Reconstruction after Wide Excision of Osteogenic Sarcoma in Lower Extremities
Joint Authors
ur Rashid, Haroon
Abbas, Kashif
Umer, Masood
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Wide margin resection of extremity tumor sometimes leaves a huge soft tissue and bony defects in limb salvage surgery.
Adequate management of these defects is an absolute requirement when aiming for functional limb.
Multidisciplinary management in such cases is an answer when complex biologic reconstruction is desired.
We aim to present cases of osteogenic sarcoma of lower extremity requiring combined surgical approach to achieve effective musculoskeletal reconstruction.
Patients and Methods.
From 2006 to 2010 ten patients were operated on for osteogenic sarcoma of lower extremity requiring complex musculoskeletal reconstruction.
Results.
Six patients had pathology around knee joint, whereas one each with mid tibia, mid femur, proximal femur, and heel bone.
Locking compression plate was used in 7 patients including six with periarticular disease.
Eight out of ten patients underwent biologic reconstruction using autograft; endoprosthetic reconstruction and hindquarter amputation were done in the remaining two patients.
Vascularized fibula was done in five patients, sural artery flap which was primarily done in three patients, spare part fillet flap, free iliac crest flap, and Gastrocnemius flap was done in one patient each.
Secondary hemorrhage, infection, nonunion, wound dehiscence, and flap failure were notable complications in four patients.
The Average Musculoskeletal Tumor Society score was 89%.
Conclusion.
Combined surgical approach results in cosmetically acceptable and functional limb.
American Psychological Association (APA)
Abbas, Kashif& Umer, Masood& ur Rashid, Haroon. 2013. Complex Biological Reconstruction after Wide Excision of Osteogenic Sarcoma in Lower Extremities. Plastic Surgery International،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-479700
Modern Language Association (MLA)
Abbas, Kashif…[et al.]. Complex Biological Reconstruction after Wide Excision of Osteogenic Sarcoma in Lower Extremities. Plastic Surgery International No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-479700
American Medical Association (AMA)
Abbas, Kashif& Umer, Masood& ur Rashid, Haroon. Complex Biological Reconstruction after Wide Excision of Osteogenic Sarcoma in Lower Extremities. Plastic Surgery International. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-479700
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479700