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Microsurgery ; 31(8): 620-7, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21919053

RESUMO

Knee reconstruction with endoprosthesis after tumor resection is accepted as superior when compared with the other methods. But sometimes soft tissue reconstruction would be a challenging problem in this way of treatment. Five patients who were operated for tumor resection in this location, followed by reconstruction were presented with their one-year post operative results. Four latissimus dorsi and one rectus abdominis myocutaneous free flaps were used in these patients in order to manage soft tissue problems. All patients underwent chemotherapy in postoperative period. All flaps were successful in one year post operative examination. In this report we would like to stress the importance of surgical planning and soft tissue reconstruction of a specific patient population. We think that large musculocutaneous flaps such as latissimus dorsi and rectus abdominis musculocutaneous flaps should be preferred in soft tissue reconstruction of knee region after tumor resection followed by prosthetic replacement. Additionally, this way of treatment is superior when compared to the other methods in order to prevent complications such as prosthesis exposure or infection.


Assuntos
Artroplastia do Joelho/métodos , Neoplasias Ósseas/cirurgia , Retalhos de Tecido Biológico/irrigação sanguínea , Osteossarcoma/cirurgia , Tíbia/cirurgia , Adolescente , Adulto , Neoplasias Ósseas/tratamento farmacológico , Neoplasias Ósseas/patologia , Quimioterapia Adjuvante , Estudos de Coortes , Terapia Combinada , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Articulação do Joelho/patologia , Articulação do Joelho/cirurgia , Masculino , Músculo Esquelético/cirurgia , Músculo Esquelético/transplante , Osteossarcoma/tratamento farmacológico , Osteossarcoma/patologia , Estudos Prospectivos , Medição de Risco , Lesões dos Tecidos Moles/cirurgia , Tíbia/patologia , Fatores de Tempo , Resultado do Tratamento , Cicatrização/fisiologia , Adulto Jovem
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