Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MR Imaging Appearances of Soft Tissue Flaps Following Reconstructive Surgery of the Lower Extremity

  • Magerkurth, Olaf (Department of Radiology, Hospital Baden) ;
  • Girish, Gandikota (Department of Radiology, University of Michigan Hospitals) ;
  • Jacobson, Jon A (Department of Radiology, University of Michigan Hospitals) ;
  • Kim, Sung Moon (Department of Radiology, University of Michigan Hospitals) ;
  • Brigido, Monica K (Department of Radiology, University of Michigan Hospitals) ;
  • Dong, Qian (Department of Radiology, University of Michigan Hospitals) ;
  • Jamadar, David A (Department of Radiology, University of Michigan Hospitals)
  • Received : 2014.02.17
  • Accepted : 2014.09.28
  • Published : 2015.02.01
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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.

Keywords

References

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