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Complex reconstruction of the lower extremity following sarcoma resection: a literature review

plastic and Aesthetic Research 2018年第1期5卷 16-27页

作者： Beina Azadgoli Antoine L.Carre david p.perrault Alex K.Wong Division of plastic and Reconstructive Surgery Department of SurgeryKeck School of Medicine of USCLos AngelesCA 90033USA

While amputation was traditionally the only option available for patients with sarcomas of the extremities, chemotherapy, radiation, and advances in microsurgical technique have allowed many patients to undergo limb-salvaging procedures. Given the low incidence and heterogeneity of these tumors, there is currently no standard treatment algorithm for limb reconstruction after large sarcoma resection. Thus, we systematically reviewed the various types of free tissue transfer used for the reconstruction of lower limbs after sarcoma resection. Techniques were described based on anatomic location. This literature review supports free tissue transfer as a safe and acceptable modality for reconstruction after sarcoma resection of the lower limb. It allows for the application of healthy vascularized tissue to the defect while also providing freedom of flap positioning. Flap choice is dependent on tumor and defect size, tissue type and function, as well as donor site availability.

关键词： Lower extremity sarcoma reconstruction

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