Limits...
MR imaging appearances of soft tissue flaps following reconstructive surgery of the lower extremity.

Magerkurth O, Girish G, Jacobson JA, Kim SM, Brigido MK, Dong Q, Jamadar DA - Korean J Radiol (2015)

Bottom Line: Decision-making for specific types of soft tissue reconstruction is based on the body region affected, as well as the size and complexity of the defect.Hematomas and infections are early complications that can jeopardize flap viability.The local recurrence of a tumor within six months after a complete resection with confirmed tumor-free margins and adjuvant radiation therapy is rare.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Hospital Baden, Baden 5405, Switzerland.

ABSTRACT
MR imaging appearances of different types of reconstructive muscle flaps following reconstructive surgery of the lower extremity with associated post-surgical changes due to altered anatomy, radiation, and potential complications, can be challenging. A multidisciplinary therapeutic approach to tumors allows for limb salvage therapy in a majority of the patients. Decision-making for specific types of soft tissue reconstruction is based on the body region affected, as well as the size and complexity of the defect. Hematomas and infections are early complications that can jeopardize flap viability. The local recurrence of a tumor within six months after a complete resection with confirmed tumor-free margins and adjuvant radiation therapy is rare. Identification of a new lesion similar to the initial tumor favors a finding of tumor recurrence.

Show MeSH

Related in: MedlinePlus

57-year-old woman with severe crush injury, comminuted fractures of tibia, fibula, and large open wound with exposed tibia extending from upper tibia to ankle. Wound closure was performed with rectus abdominis free flap.A. Anteroposterior radiograph of lower leg shows multiple fractures of tibia and fibula. Note extensive soft tissue abnormality with anteromedial defect (arrows) and emphysema (*). B. Axial CT scan proximal to fibular fracture. Note soft tissue emphysema (*) anterolaterally and overlying skin defect (arrow). C. Anteroposterior radiograph after soft tissue reconstruction shows prominent lobulated soft tissue medial to distal tibia, which represents soft tissue flap (F). Also note internal fixation of tibial fracture (*) with improved alignment. G = gauze, T = left tibia
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4296265&req=5

Figure 6: 57-year-old woman with severe crush injury, comminuted fractures of tibia, fibula, and large open wound with exposed tibia extending from upper tibia to ankle. Wound closure was performed with rectus abdominis free flap.A. Anteroposterior radiograph of lower leg shows multiple fractures of tibia and fibula. Note extensive soft tissue abnormality with anteromedial defect (arrows) and emphysema (*). B. Axial CT scan proximal to fibular fracture. Note soft tissue emphysema (*) anterolaterally and overlying skin defect (arrow). C. Anteroposterior radiograph after soft tissue reconstruction shows prominent lobulated soft tissue medial to distal tibia, which represents soft tissue flap (F). Also note internal fixation of tibial fracture (*) with improved alignment. G = gauze, T = left tibia

Mentions: For extensive defects, the size of potential local donor muscles may be insufficient to achieve wound closure. In these cases, free flaps such as rectus abdominis or latissimus dorsi muscle flaps are preferred (Figs. 6, 7) (9, 10, 11, 12, 13).


MR imaging appearances of soft tissue flaps following reconstructive surgery of the lower extremity.

Magerkurth O, Girish G, Jacobson JA, Kim SM, Brigido MK, Dong Q, Jamadar DA - Korean J Radiol (2015)

57-year-old woman with severe crush injury, comminuted fractures of tibia, fibula, and large open wound with exposed tibia extending from upper tibia to ankle. Wound closure was performed with rectus abdominis free flap.A. Anteroposterior radiograph of lower leg shows multiple fractures of tibia and fibula. Note extensive soft tissue abnormality with anteromedial defect (arrows) and emphysema (*). B. Axial CT scan proximal to fibular fracture. Note soft tissue emphysema (*) anterolaterally and overlying skin defect (arrow). C. Anteroposterior radiograph after soft tissue reconstruction shows prominent lobulated soft tissue medial to distal tibia, which represents soft tissue flap (F). Also note internal fixation of tibial fracture (*) with improved alignment. G = gauze, T = left tibia
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4296265&req=5

Figure 6: 57-year-old woman with severe crush injury, comminuted fractures of tibia, fibula, and large open wound with exposed tibia extending from upper tibia to ankle. Wound closure was performed with rectus abdominis free flap.A. Anteroposterior radiograph of lower leg shows multiple fractures of tibia and fibula. Note extensive soft tissue abnormality with anteromedial defect (arrows) and emphysema (*). B. Axial CT scan proximal to fibular fracture. Note soft tissue emphysema (*) anterolaterally and overlying skin defect (arrow). C. Anteroposterior radiograph after soft tissue reconstruction shows prominent lobulated soft tissue medial to distal tibia, which represents soft tissue flap (F). Also note internal fixation of tibial fracture (*) with improved alignment. G = gauze, T = left tibia
Mentions: For extensive defects, the size of potential local donor muscles may be insufficient to achieve wound closure. In these cases, free flaps such as rectus abdominis or latissimus dorsi muscle flaps are preferred (Figs. 6, 7) (9, 10, 11, 12, 13).

Bottom Line: Decision-making for specific types of soft tissue reconstruction is based on the body region affected, as well as the size and complexity of the defect.Hematomas and infections are early complications that can jeopardize flap viability.The local recurrence of a tumor within six months after a complete resection with confirmed tumor-free margins and adjuvant radiation therapy is rare.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Hospital Baden, Baden 5405, Switzerland.

ABSTRACT
MR imaging appearances of different types of reconstructive muscle flaps following reconstructive surgery of the lower extremity with associated post-surgical changes due to altered anatomy, radiation, and potential complications, can be challenging. A multidisciplinary therapeutic approach to tumors allows for limb salvage therapy in a majority of the patients. Decision-making for specific types of soft tissue reconstruction is based on the body region affected, as well as the size and complexity of the defect. Hematomas and infections are early complications that can jeopardize flap viability. The local recurrence of a tumor within six months after a complete resection with confirmed tumor-free margins and adjuvant radiation therapy is rare. Identification of a new lesion similar to the initial tumor favors a finding of tumor recurrence.

Show MeSH
Related in: MedlinePlus