MR Imaging Appearances of Soft Tissue Flaps Following Reconstructive Surgery of the Lower Extremity.
10.3348/kjr.2015.16.1.160
- Author:
Olaf MAGERKURTH
1
;
Gandikota GIRISH
;
Jon A JACOBSON
;
Sung Moon KIM
;
Monica K BRIGIDO
;
Qian DONG
;
David A JAMADAR
Author Information
1. Department of Radiology, Hospital Baden, Baden 5405, Switzerland. dr.o.magerkurth@gmail.com
- Publication Type:Review
- Keywords:
Reconstructive surgery;
Soft tissue flaps;
Imaging;
Lower extremity
- MeSH:
Adult;
Female;
Hematoma/etiology;
Humans;
Limb Salvage;
Lower Extremity/anatomy & histology/radiography/*surgery;
*Magnetic Resonance Imaging;
Male;
Middle Aged;
Neoplasm Recurrence, Local;
Reconstructive Surgical Procedures;
Sarcoma/radiotherapy/*surgery;
Soft Tissue Infections/radiography/*surgery;
Soft Tissue Injuries/radiography/*surgery;
Soft Tissue Neoplasms/radiotherapy/*surgery;
Surgical Flaps/adverse effects
- From:Korean Journal of Radiology
2015;16(1):160-168
- CountryRepublic of Korea
- Language:English
-
Abstract:
MR imaging appearances of different types of reconstructive muscle flaps following reconstructive surgery of the lower extremity with associated post-surgical changes due to altered anatomy, radiation, and potential complications, can be challenging. A multidisciplinary therapeutic approach to tumors allows for limb salvage therapy in a majority of the patients. Decision-making for specific types of soft tissue reconstruction is based on the body region affected, as well as the size and complexity of the defect. Hematomas and infections are early complications that can jeopardize flap viability. The local recurrence of a tumor within six months after a complete resection with confirmed tumor-free margins and adjuvant radiation therapy is rare. Identification of a new lesion similar to the initial tumor favors a finding of tumor recurrence.
