osteosarcoma lower femur exposed knee with implant - Free Latissimus Dorsi Flap






15 year girl was diagnosed with osteosarcoma of lower end of femur. The tumor war removed and the remaining bone was irradiated with high dose irradiation. After radiation treatment the bone is refixed in its original place by plates and screws. Unfortunately the overlying skin was necrosed and the implant along with the bone was exposed.
After proper debridement a free latissimus dorsi flap was harvested with its thoracodorsal vessels and the knee with exposed implant and the bone were covered thus salvaging the entire limb and covering the vital knee joint. Last picture shows well healed latissimus dorsi muscle flap with skin graft.

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