Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Aug 2019
A reconstructive algorithm after thigh soft tissue sarcoma resection including predictors of free flap reconstruction✰.
Reconstruction of defects of the thigh after oncologic resection plays a vital role in limb salvage. Our goal was to evaluate our institution's experience on thigh sarcomas to develop evidence-based recommendations to guide the reconstructive surgeon, including factors that would predict the need for free flap reconstruction. ⋯ There are multiple options for reconstructing defects from thigh STS. When primary closure and skin grafts are not an option, most defects can be closed with pedicled local or regional muscle or fasciocutaneous flaps. Free flap reconstruction is rarely required but can be necessary when defects are wide or located in the middle third of the thigh.