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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.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.

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.

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48-year-old woman after resection of high-grade myxofibrosarcoma and wound closure with lateral gastrocnemius flap.Coronal T2-weighted MR image (A) and axial T2-weighted MR image (B) with fat saturation. Note fluid collection (*) proximal to flap (F), located at undersurface of graft, extending proximally. arrow = cutaneous marker. C = left lateral femoral condyle, Fem = left femur
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Figure 8: 48-year-old woman after resection of high-grade myxofibrosarcoma and wound closure with lateral gastrocnemius flap.Coronal T2-weighted MR image (A) and axial T2-weighted MR image (B) with fat saturation. Note fluid collection (*) proximal to flap (F), located at undersurface of graft, extending proximally. arrow = cutaneous marker. C = left lateral femoral condyle, Fem = left femur

Mentions: Complications following soft tissue reconstructive surgery are uncommon (12, 14, 15). Hematomas or fluid collections (Fig. 8) and infections (Fig. 9) are more likely to be encountered when compared to other complications, such as graft necrosis, graft failure, and local recurrence (5).


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)

48-year-old woman after resection of high-grade myxofibrosarcoma and wound closure with lateral gastrocnemius flap.Coronal T2-weighted MR image (A) and axial T2-weighted MR image (B) with fat saturation. Note fluid collection (*) proximal to flap (F), located at undersurface of graft, extending proximally. arrow = cutaneous marker. C = left lateral femoral condyle, Fem = left femur
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: 48-year-old woman after resection of high-grade myxofibrosarcoma and wound closure with lateral gastrocnemius flap.Coronal T2-weighted MR image (A) and axial T2-weighted MR image (B) with fat saturation. Note fluid collection (*) proximal to flap (F), located at undersurface of graft, extending proximally. arrow = cutaneous marker. C = left lateral femoral condyle, Fem = left femur
Mentions: Complications following soft tissue reconstructive surgery are uncommon (12, 14, 15). Hematomas or fluid collections (Fig. 8) and infections (Fig. 9) are more likely to be encountered when compared to other complications, such as graft necrosis, graft failure, and local recurrence (5).

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.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.

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