Floating the flap: Suspension of soft tissue free flap over external fixation-guided bone transport: A novel technique Journal Article
| Authors: | Aysola, V.; Prince, D. E.; Healey, J. H.; Singer, S.; Mehrara, B. J. |
| Article Title: | Floating the flap: Suspension of soft tissue free flap over external fixation-guided bone transport: A novel technique |
| 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. COPYRIGHT © 2025 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED. |
| Keywords: | adult; clinical article; aged; bone neoplasms; bone graft; bone tumor; limb salvage; range of motion; bone transplantation; case report; nuclear magnetic resonance imaging; follow up; computer assisted tomography; sarcoma; soft tissue; soft tissue sarcoma; surgery; radiography; bone development; synovial sarcoma; free tissue graft; anastomosis; tibia; bone defect; bone regeneration; tissue flap; distraction osteogenesis; free flap; free tissue flaps; fracture external fixation; ilizarov technique; external fixation; external fixator; external fixators; humans; human; male; female; article; bone transport; combined defect; ilizarov frame; joint preservation; limb preservation; orthoplastic surgery; osseous defect; soft tissue flap; ankle dorsiflexion angle |
| Journal Title: | JBJS Case Connector |
| Volume: | 15 |
| Issue: | 1 |
| ISSN: | 2160-3251 |
| Publisher: | Journal of Bone and Joint Surgery |
| Date Published: | 2025-01-01 |
| Start Page: | e24.00343 |
| Language: | English |
| DOI: | 10.2106/jbjs.Cc.24.00343 |
| PUBMED: | 39819776 |
| PROVIDER: | scopus |
| PMCID: | PMC11750175 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Daniel Prince -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work