Floating the Flap: Suspension of Soft Tissue Free Flap Over External Fixation-Guided Bone Transport: A Novel Technique.

JBJS case connector 2025 Vol.15(1)

Aysola V, Prince DE, Healey JH, Singer S, Mehrara BJ

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Abstract

[CASE] Wide resection of a synovial sarcoma of the anteromedial distal leg involving the dimetaphyseal tibia and posterior tibial tendon produced an 8.5-cm osseous defect. To keep the free flap from invaginating into the defect and prevent kinking of the anastomosis, six 1.5-mm Ilizarov wires (held in place by the external fixator) were placed under the flap to suspend it over the defect. No problems resulted with the vascularity or healing of the flap or with consolidation of the defect.

[CONCLUSION] Suspending the flap over the defect with Ilizarov wires can prevent tissue invagination while avoiding need for additional procedures.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 4
시술 free flap 피판재건술 dict 2
해부 Soft Tissue scispacy 1
해부 Bone scispacy 1
해부 tissue scispacy 1
질환 synovial sarcoma C0039101
synovial sarcoma
scispacy 1
기타 anteromedial distal leg scispacy 1
기타 dimetaphyseal tibia scispacy 1
기타 posterior tibial tendon scispacy 1

MeSH Terms

Humans; Free Tissue Flaps; Bone Neoplasms; Ilizarov Technique; Male; External Fixators; Tibia

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