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Case Report

Natl J Med Res. 2020; 10(1): 51-54


gastrocnemius flap and patellar tendon reconstruction in limb sparing surgery of fibrosarcoma at proximal tibia region

Ruksal Saleh, Henry Yurianto, Victor Gozaly, William Limoa.


Abstract

Introduction
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.

Discussion
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 patientÂ’s expectations.

Solution
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.

Final Outcome
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






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