Reconstruction of Soft-Tissue Defects at the Foot and Ankle after Oncological Resection.

摘要: Introduction: Solid malignancies at the foot and ankle region are rare include mainly soft tissue sarcomas, bone sarcomas skin malignancies. Complete surgical resection with clear margins still remains mainstay of therapy in these However, attainment negative patients locally advanced tumors may require extensive surgery could result loss extremity function. In circumstances, plastic techniques can frequently reduce functional impairment cover defects, particularly cases large tumor size or localization adjacent to critical anatomic structures, thereby improving quality life for patients. The aim this article is illustrate various treatment options multimodal malignant region. Material und methods: This based on review current literature evaluation author’s own patient database. Results: local has undergone major changes over last few decades. Primary amputations have been increasingly replaced by limb-sparing techniques, preserving function as much possible. Although defect coverage demanding due complex anatomical features requirements, several be implemented curative solid area. Soft defects after covered a variety flaps. If flaps not applicable, free flap transfers, such anterolateral thigh (ALT) flap, parascapular latissimus dorsi utilized nearly all kinds Conclusion: reconstruction vital component surgery. It enables complete subsequent adjuvant radiotherapy. Modern should, therefore, integrated concept