Medicine and Health Sciences | Oncology | Plastic Surgery | Skin and Connective Tissue Diseases
A 58-year-old male presented to our institution with synchronous large left thigh sarcoma and sacral decubitus ulcer requiring oncologic resection and reconstruction. Due to extensive tumor involvement, use of local flap for reconstruction was not feasible. Therefore, a spare parts free fillet flap from the disarticulated lower leg was utilized for reconstruction following oncologic resection. The benefits of this spare parts approach include no donor site morbidity, sufficient tissue padding for later use of prosthesis, and preservation of other flaps for future reconstruction of his sacral decubitus ulcer.
Spare Parts Surgery, Free Fillet Flap, Oncologic Reconstruction, Hip Disarticulation
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Zurbuchen, E., Foje, N., , Figy, S. Spare Parts Surgery for Oncologic Reconstruction to Preserve Local Advancement Flap for Decubitus Ulcer Reconstruction: A Case Report. Graduate Medical Education Research Journal. 2020 Dec 09; 2(2).
Figure 1. Preoperative
Fig 2 Dissection_cmyk.tif (14608 kB)
Figure 2. Dissection
Fig 3 Disarticulation_cmyk.tif (17798 kB)
Figure 3. Disarticulation
Fig 4 Postoperative_cmyk.tif (16579 kB)
Figure 4. Postoperative
Spart Parts Surgery for Oncologic Reconstruction.docx (37 kB)