gastrocnemius flap and patellar tendon reconstruction in limb sparing surgery of fibrosarcoma at proximal tibia regionRuksal Saleh, Henry Yurianto, Victor Gozaly, William Limoa.
A 45-year-old male presented with a tumor over the anterior aspect of his right knee which has enlarged over the past year. Patient was previously treated by a general surgeon who attempt to excise the tumor with histopathologic findings of a fibrous tumor.
Patient insisted on maintaining the functional use of his lower limb. Therefore, a more radical excision and soft tissue procedure is needed to decreased the chance of recurrence while at the same time help achieve the patients expectations.
A wide excision was performed and the patellar tendon was reconstructed kmedial gastrocnemius flap and skin grafting. A joint spanning external fixation was placed to help achieve a functional position and stiffness of the joint.
The wound healed uneventfully and at 2 month follow up, the patient is now moblize using the aid of billateral axillary crutch.
Key words: gastrocnemius flap, patellar tendon reconstruction, fibrosarcoma, limb sparing surgery