Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Catholic University of the Sacred Heart , Rome , Italy
Department of Aging, Orthopaedic and Rheumatologic Sciences, Orthopaedics and Trauma Surgery Unit, Agostino Gemelli University Polyclinic , Rome , Italy
Department of Life Sciences, Health, and Healthcare Profession, Link Campus University , Rome , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy
University of Siena , Siena , Italy
University of Siena , Siena , Italy
Plastic and Reconstructive Microsurgery , Azienda Ospedaliero-Universitaria Careggi , Florence , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Catholic University of the Sacred Heart , Rome , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Orthopaedics and Trauma Surgery, Catholic University of the Sacred Heart , Rome , Italy
Agostino Gemelli University Polyclinic , Rome , Italy
Catholic University of the Sacred Heart , Rome , Italy
Aim To report our personal experience in hindfoot reconstruction using an anterolateral thigh (ALT) free flap
following radical resection of a high-grade synovial sarcoma.
Methods The patient underwent clinical and imaging assessments, and a biopsy of the lesion confirmed the
diagnosis of synovial sarcoma (SS) of the hindfoot. A multidisciplinary team was involved to define the most
appropriate therapeutic strategy.
Results After radical resection of the tumor mass, soft tissue coverage of the extensive skin defect was
achieved using an ALT free flap. No local recurrences were observed during the follow-up period. At ap
proximately twenty-four months after surgical treatment, the patient is able to ambulate independently, with
no significant limitations in daily activities.
Conclusion The complex management of this rare disease requires a dedicated reference centre for foot and
ankle surgery, supported by a multidisciplinary team including expert orthopaedic and plastic surgeons, as
well as specialized oncologists, to ensure accurate diagnosis and appropriate treatment.
Key words: flap, foot, limb salvage, reconstructive surgical procedures, soft tissue sarcoma
Nothing to declare.
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