Functional neuro-vascularized muscle transfer for oncological reconstruction of extremity sarcoma |
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| Authors: | Keiichi Muramatsu Koichiro Ihara Kazuteru Doi Koji Yoshida Ryuta Iwanaga Takahiro Hashimoto Toshihiko Taguchi |
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| Affiliation: | 1. Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan;2. Department of Orthopedic Surgery, Kanmon Medical Center, Yamaguchi, Japan;3. Department of Orthopedic Surgery, Ogori Daiichi Hospital, Yamaguchi, Japan;1. Laboratory of Translational Surgery, University Laboratories of Medical Research (LURM), G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, Verona 37134, Italy;2. Pancreas Institute, G.B. Rossi Hospital, University of Verona, Piazzale L.A. Scuro 10, Verona 37134, Italy;3. ARC-Net Research Centre, University of Verona, Piazzale L.A. Scuro 10, Verona 37134, Italy;4. Department of Pathology, University of Verona, Piazzale L.A. Scuro 10, Verona 37134, Italy;1. Department of Surgery, Ulsan University College of Medicine and Asan Medical Center, 388-1, Pungnap 2-dong, Songpa-ku, Seoul 138-736, Republic of Korea;2. Department of Pathology, Ulsan University College of Medicine and Asan Medical Center, Seoul, Republic of Korea;3. Department of Gastroenterology, Ulsan University College of Medicine and Asan Medical Center, Seoul, Republic of Korea;1. Organ Transplant Institute, Fuzhou General Hospital, Xiamen University, Fuzhou, PR China;2. Department of Urology, People''s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, The People''s Hospital of Fujian Province, Fuxhou, PR China;1. Department of Surgery, National Hospital Organization Okayama Medical Center.), Okayama, Japan;2. Department of Surgery, Saiwaicho Memorial Hospital, Okayama, Japan;1. Research Promotion Section, Nagasaki University, Nagasaki 852-8521, Japan;2. Department of Molecular Cell Biology and Oral Anatomy, Graduate School of Dental Science, Kyushu University, Fukuoka 812-8582, Japan;3. Division of Oral Pathopharmacology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8588, Japan;4. Proteolysis Research Laboratory, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka 812-8582, Japan;1. University of Maryland School of Medicine, Division of Surgical Oncology, Baltimore, MD, USA;2. Roger Williams Outcomes Research Program, Roger Williams Medical Center, 825 Chalkstone Avenue, Providence, RI 02908, USA |
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| Abstract: | The strategy of limb salvage following surgical resection of skeletal tumor has led to an increased demand for more complex reconstructive options in order to achieve better functional outcomes. Functional neuro-vascularized muscle transfer (FMT) is a beneficial tool for restoring joint movement involving the reconstruction of “movement” in the affected extremity. Until now, however, the clinical application of FMT was mainly limited to trauma cases and to date, very few studies have focused on musculoskeletal oncology. In this study, we reviewed patients who underwent wide resection for extremity sarcoma and functional reconstruction using FMT and discussed the advantages, indications and complications of the procedure. |
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