Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin
Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient’s quality of life. Sarcoma of the forearm is known for its poor prognosi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2018-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01802 |
| _version_ | 1798005429747318784 |
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| author | Jeongseok Oh Hee Chang Ahn Kwang Hyun Lee |
| author_facet | Jeongseok Oh Hee Chang Ahn Kwang Hyun Lee |
| author_sort | Jeongseok Oh |
| collection | DOAJ |
| description | Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient’s quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring 9×6 cm and 7×5 cm, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a 24×8 cm anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST. |
| first_indexed | 2024-04-11T12:40:03Z |
| format | Article |
| id | doaj.art-b75fc7d9a045417e9568f6f5d8ae13bb |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:40:03Z |
| publishDate | 2018-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-b75fc7d9a045417e9568f6f5d8ae13bb2022-12-22T04:23:32ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712018-09-01450547948310.5999/aps.2017.01802968Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skinJeongseok Oh0Hee Chang Ahn1Kwang Hyun Lee2Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, KoreaDepartment of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, KoreaMalignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient’s quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring 9×6 cm and 7×5 cm, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a 24×8 cm anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01802forearmneoplasmssurgical flaps |
| spellingShingle | Jeongseok Oh Hee Chang Ahn Kwang Hyun Lee Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin Archives of Plastic Surgery forearm neoplasms surgical flaps |
| title | Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin |
| title_full | Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin |
| title_fullStr | Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin |
| title_full_unstemmed | Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin |
| title_short | Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin |
| title_sort | simultaneous reconstruction of the forearm extensor compartment tendon soft tissue and skin |
| topic | forearm neoplasms surgical flaps |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01802 |
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