yam63(2)_127.pdf 4.07 MB
Yagi, Shunjiro Department of Plastic and Reconstructive Surgery, Tottori University Hospital Researchers DB KAKEN
Suyama, Yoshiko Department of Plastic and Reconstructive Surgery, Tottori University Hospital Researchers DB KAKEN
Fukuoka, Kohei Department of Plastic and Reconstructive Surgery, Tottori University Hospital
Morita, Maki Department of Plastic and Reconstructive Surgery, Tottori University Hospital
Yamaga, Kensaku Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine Researchers DB
Reconstruction of bone and soft-tissue defects in the forearm is a surgery that often proves unsuccessful. Free fibular osteocutaneous flaps are a useful material for reconstruction that enable simultaneous reconstruction of bone, skin, and soft tissues. However, in free fibular osteocutaneous flaps, the fibula, skin, and vascular pedicle are tightly bound together by the posterior intermuscular septum and the perforators that pass through the septum, giving the disadvantage of a low degree of freedom when setting these structures in place. We take into account the 3-dimensional structure of the free skin flap when selecting which lower leg to use as the donor. We report here the case of a 61-yearold man with defects in the radius, skin, and soft tissues after resection of spindle cell carcinoma of the right forearm, which was reconstructed using a free fibular osteocutaneous flap harvested from the left lower leg. Two years postoperatively, recovery has been uneventful with no complications. Donor-side selection of free fibular osteocutaneous flap is an important factor for safely completing composite radius reconstruction.
Tottori University Medical Press
Yonago Acta Medica
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Yonago Acta Medica
注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.
S. Yagi, Y. Suyama, K. Fukuoka, et al. Considering the Better Donor-side in Reconstruction of Composite Radius After Resection of Spindle Cell Sarcoma Using Free Fibular Osteocutaneous Flap: A Case Report. Yonago Acta Medica. 2020, 63(2), 127-131. doi:10.33160/yam.2020.05.003
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital