Free Functional Latissimus Dorsi Reconstruction of the Quadriceps and Hamstrings following Oncologic Resection of Soft Tissue Sarcomas of the Thigh

Figure 2

Axial MRI with contrast (a) showing a soft tissue sarcoma, involving the posterior compartment of the thigh abutting the sciatic nerve (arrow). The patient underwent a nononcologic resection at an outside center, and following the excision axial MRI with contrast (b) shows residual tumor abutting the sciatic nerve (arrow) and soft tissue edema involving the posterior compartment. In addition, they had an incision and surgical drain placed which did not follow oncologic principles (c). The resection included the sciatic nerve and the lateral hamstring complex and semimembranosus (d) with reconstruction utilizing a free functional latissimus with a skin paddle. Following surgery, the patient had full knee extension with flexion past 90° (e) ambulating without gait aid.

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