Primary flap reconstruction of tissue defects after XXXX surgery enables curative treatment with acceptable functional results: a 7-year review.

@entity1 @entity242 @entity5 @entity260 @entity281
BACKGROUND: @entity242 , a heterogeneous group of @entity5 , are challenging to treat and require multidisciplinary cooperation and planning. We analyzed the efficacy of flap reconstruction in @entity1 with bone and soft tissue @entity242 . METHODS: @entity1 charts and operative records were retrospectively reviewed from January 2006 through October 2013 to identify @entity242 @entity1 characteristics, @entity260 , revisions, recurrences, and survival. Pedicled and/or free flap reconstruction was performed in 109 @entity1 . Flap selection was based on defect size, and exposure of anatomically critical structures or major orthopedic implants. RESULTS: Of 109 @entity1 , 71 (65.1  %) were @entity1 , and mean age was 56.4  years. @entity5 most frequently located in a lower extremity (38.7  %). Primary @entity242 comprised 79.2  % and recurrences occurred in 18.9  %. Wide resection was performed for 65.7  %, and there were 10 planned amputations combined with flap reconstruction. A total of 111 @entity5 received 128 flaps: 76 pedicled flaps, 42 free flaps, and 5 combined (10 total) pedicled   +   free-flaps. The success rate was 94  % for the pedicled flap group, 97  % for the free-flap group, and 100  % for the pedicle   +   free-flap group. Of 35 @entity1 , 5 developed @entity281 . Only one amputation due to disease progression was performed. Satisfactory functional outcome was achieved in 69  %. Survival rate during a mean (standard deviation) 3(2) year follow-up was 83.5  %. CONCLUSIONS: Primary flap reconstruction after @entity242 surgery satisfies oncologic goals. Large @entity5 in difficult areas can be removed and complete @entity5 resection achieved. Our findings indicate a high survival rate after @entity242 surgery utilizing flap reconstruction and a low recurrence rate.
