TY - JOUR
T1 - Popliteal-based filleted lower leg musculocutaneous free-flap coverage of a hemipelvectomy defect
AU - Workman, Michael L.
AU - Bailey, Douglas F.
AU - Cunningham, Bruce L.
PY - 1992/2
Y1 - 1992/2
N2 - A 33-year-old man suffered from locally recurrent malignant fibrous histiocytoma of his left thigh unresponsive to previous excision, radiation therapy, chemotherapy, and hyperthermic treatment. He underwent radical hemipelvectomy for cure. Because of extensive tumor involvement, a free flap consisting of his distal left leg based on the popliteal artery was utilized to close the defect. Both the tibia and fibula were removed from their periosteal sheaths, and the foot was excised from the flap. The popliteal artery and vein were anastomosed to the iliac vessels. The flap survived, and the patient was discharged home after physical rehabilitation. We suggest that uninvolved portions of the distal leg may be utilized as a free flap to successfully close hemipelvectomy defects in selected patients when conventional pedicle flaps are unavailable.
AB - A 33-year-old man suffered from locally recurrent malignant fibrous histiocytoma of his left thigh unresponsive to previous excision, radiation therapy, chemotherapy, and hyperthermic treatment. He underwent radical hemipelvectomy for cure. Because of extensive tumor involvement, a free flap consisting of his distal left leg based on the popliteal artery was utilized to close the defect. Both the tibia and fibula were removed from their periosteal sheaths, and the foot was excised from the flap. The popliteal artery and vein were anastomosed to the iliac vessels. The flap survived, and the patient was discharged home after physical rehabilitation. We suggest that uninvolved portions of the distal leg may be utilized as a free flap to successfully close hemipelvectomy defects in selected patients when conventional pedicle flaps are unavailable.
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U2 - 10.1097/00006534-199202000-00022
DO - 10.1097/00006534-199202000-00022
M3 - Article
C2 - 1310162
AN - SCOPUS:0026592402
SN - 0032-1052
VL - 89
SP - 326
EP - 329
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 2
ER -