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Soft Tissue Reconstruction in Limb-Sparing Tumor Surgery

  • Koichiro Ihara
  • Kazuteru Doi
  • Kazuhiro Sakai
  • Kenji Kido
  • Tetsuro Kishimoto
  • Shinya Kawai
Conference paper

Abstract

Limb-sparing surgery for bone and soft tissue sarcomas has become more widespread along with the development of adjuvant therapy and several kinds of imaging techniques for analyzing local tumor extension [1]. This procedure can be indicated for surgical treatment of the tumor, unless a major neurovascular structure is involved by the tumor, although vascular reconstruction may be possible in order to achieve an adequate margin [2]. However, the incision is sometimes too extensive to be closed directly after a particularly wide excision of the tumor and, furthermore, resection of muscles following tumor excision might result in a certain loss of function of the extremity. As a result, soft tissue reconstruction is regarded as the keystone of extending the indication for limb-salvage surgery and achieving favorable use of the extremities. While others have reported the use of pedicle flaps for wound coverage with satisfactory results [3, 4], the authors have been applying micro-surgical tissue transfer for soft tissue reconstruction in limb-sparing tumor surgery. The selection of flaps depends on the size and content of the soft tissue defects. From our experience, the results are encouraging, and a much lower complication rate and better limb function can be expected.

Keywords

Soft Tissue Sarcoma Skin Flap Limb Salvage Malignant Bone Tumor Common Peroneal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Japan 1992

Authors and Affiliations

  • Koichiro Ihara
  • Kazuteru Doi
  • Kazuhiro Sakai
  • Kenji Kido
  • Tetsuro Kishimoto
  • Shinya Kawai
    • 1
  1. 1.Department of Orthopedic SurgeryYamaguchi University School of MedicineUbe, Yamaguchi, 755Japan

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