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CC BY-NC 4.0 · Arch Plast Surg 2018; 45(05): 479-483
DOI: 10.5999/aps.2017.01802
Case Report

Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin

Jeongseok Oh
Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea
,
Hee Chang Ahn
Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea
,
Kwang Hyun Lee
Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea
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Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient’s quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring 9×6 cm and 7×5 cm, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a 24×8 cm anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST.

Keywords

Forearm - Neoplasms - Surgical flaps


Publication History

Received: 18 December 2017

Accepted: 17 May 2018

Article published online:
03 April 2022

© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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