Open AccessA Transposition Flap Reconstruction after Resection of a Soft-Tissue Sarcoma in the Buttock
Author(s) -
Akio Sakamoto,
Takashi Noguchi,
Shinya Matsuda,
Shinya Matsuda
Publication year - 2021
Publication title -
journal of orthopaedic case reports
Language(s) - English
Resource type - Journals
eISSN - 2321-3817
pISSN - 2250-0685
DOI - 10.13107/jocr.2021.v11.i10.2458
Subject(s) - medicine , surgery , transposition (logic) , sarcoma , soft tissue sarcoma , resection , soft tissue , buttocks , biopsy , thorax (insect anatomy) , radiology , anatomy , pathology , philosophy , linguistics
Large defects following resection in the gluteal region are challenging. Of note, there are a limited number of fairly morbid options for reconstruction.Case Report:A 65-year-old female presented with complaints of an enlarging mass in the left buttock over the past several months. A high-grade sarcoma was diagnosed based on a biopsy. The final diagnosis was an undifferentiated pleomorphic sarcoma based on the resected tumor. An 11-cm tumor with surrounding tissues, including the great gluteal muscle, was resected, which resulted in a 17-cm full thickness defect. The defect was reconstructed with a transposition flap elevated from the lateral thorax. A transposition flap can cover large buttock defects without sacrificing other muscles.Conclusion:Moreover, a transposition flap is esthetically acceptable because most of the operative scar is within the buttock area. A transposition flap reconstruction is one of the several options for large defects after soft-tissue sarcoma resection in the buttock.Keywords:Buttock, resection, reconstruction, musculocutaneous flap, soft-tissue sarcoma.