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Case Reports
. 2023 Aug 22;10(1):2249092.
doi: 10.1080/23320885.2023.2249092. eCollection 2023.

Late lower extremity free flap vascular compromise and salvage in a Pediatric patient diagnosed with monophasic synovial sarcoma

Shervin Zoghi  1 , Kelsey Millar  1 , Steven Thorpe  1 , Christopher O Bayne  1
Affiliations
Case Reports

Late lower extremity free flap vascular compromise and salvage in a Pediatric patient diagnosed with monophasic synovial sarcoma

Shervin Zoghi et al. Case Reports Plast Surg Hand Surg. .

Abstract

Free tissue flap transfer can be utilized for reconstruction following tumor resection. While flap failure occurs primarily within 72 h post-operation, late failure after day 7 is rare. We present the case of a 14-year-old with a late lower extremity free flap vascular compromise, along with the successful flap salvage.

Keywords: flap salvage; Flap failure; pediatric orthopedic surgery; sarcoma; vascular compromise.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Pre-radial forearm flap soft tissue defect.
Figure 2.
Figure 2.
Right lower extremity wound appearance after radial forearm free flap. The proximal and distal portions of the defect were approximated with 4-0 Nylon sutures in a horizontal mattress fashion. The flap was inset with interrupted, simple 3-0 Monocryl sutures. The incision over the recipient anterior tibial artery was closed with interrupted, simple 3-0 Monocryl sutures. Nylon suture in the free flap marks the site at which doppler monitoring was performed over the flap postoperatively.EI
Figure 3.
Figure 3.
Right lower extremity 4-months postoperatively after flap salvage procedure.
Figure 4.
Figure 4.
Right lower extremity 12-months postoperatively after flap salvage procedure.
See this image and copyright information in PMC

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References

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