Extremity free fillet flap for reconstruction of massive oncologic resection—Surgical technique and outcomes

Lucas Kreutz-Rodrigues, Anita T. Mohan, Steven L. Moran, Brian T. Carlsen, Samir Mardini, Matthew T. Houdek, Peter S. Rose, Karim Bakri

Research output: Contribution to journalArticle

Abstract

Background and Objectives: The purpose of this study is to present our experience using free fillet flaps to reconstruct massive oncologic defects of the upper and lower extremity. Methods: A retrospective chart review was performed to include patients who underwent oncologic resection followed by reconstruction using free fillet flaps from July 2001 to October 2018. Patient demographics, clinical and surgical characteristics, and postoperative complications were reviewed. Results: In total, 12 patients were identified and included in this study. Mean age was 48.9 years old. Five patients had extended forequarter amputations and seven patients had external hemipelvectomies, all for locally advanced tumors. Mean tumor size was 15 ± SD 6.4 cm, and negative tumor margins were achieved in all the patients. Mean flap size was 1028 ± SD 869 cm2. The mean follow-up was 13 months. There were no partial or total flap losses in the postoperative period. Two patients had flap-related postoperative complications, including flap bleeding and wound dehiscence. Median survival was 18 months. Conclusion: The free fillet flap is a safe, reliable, and valuable approach for reconstructing oncological defects. It offers the advantage of avoiding donor site morbidity, while providing extensive soft-tissue coverage as a one-step solution for massive oncologic defects.

Original languageEnglish (US)
JournalJournal of Surgical Oncology
DOIs
StateAccepted/In press - Jan 1 2019

Keywords

  • fillet flap
  • free flap
  • sarcoma

ASJC Scopus subject areas

  • Surgery
  • Oncology

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    Kreutz-Rodrigues, L., Mohan, A. T., Moran, S. L., Carlsen, B. T., Mardini, S., Houdek, M. T., Rose, P. S., & Bakri, K. (Accepted/In press). Extremity free fillet flap for reconstruction of massive oncologic resection—Surgical technique and outcomes. Journal of Surgical Oncology. https://doi.org/10.1002/jso.25795