Designing a better incision for proximal tibial osteosarcoma resection and reconstruction: a reminder of the skin's vascular anatomy

Abstract

Functional limb reconstruction, rather than amputation, has become the 'gold standard' in bony sarcoma management. 1 This is particularly true in the paediatric setting. The resection and reconstruction of massive sarcoma defects in the proximal tibia and knee are particularly complex. This weight-bearing construct requires a sound osseo-articular column, an intact extensor mechanism and robust Fig. 1. The relevant angiosomal territories in the leg (Adapted from Taylor et al., 6 with permission).