Free functioning muscle transplantation was performed after resection of 23 @entity242 in the extremity. There were 21 soft tissue @entity242 and two malignant @entity3478 . The @entity5 resection was performed with a wide margin in all except two @entity1 who had a marginal margin in a limited area. The consequent extensive soft tissue defect received free musculocutaneous flaps, the motor nerve of which was repaired in the recipient site. The most frequent procedure was latissimus dorsi transplantation to replace thigh muscles in 17 cases. The other donors included gracilis, @entity392 , and rectus femoris, which were selected according to the site of defects. @entity1 were followed up for a mean of 60 months (range, 13-119 months). The grafted muscles showed reinnervation at a mean of 6 months postoperatively in all @entity1 except for a 75-year-old @entity1 . Obtained contraction of the muscles was powerful in 18 @entity1 and fair in four @entity1 . Performance of the salvaged limb significantly improved after recovery of the muscles. Although there were five distant recurrences, local recurrence was seen in one @entity1 with systemic @entity3 . Because @entity121 could be compensated functionally for by the innervated free muscle transfer, the method encouraged surgeons to perform more radical @entity5 excisions and this may have contributed to the excellent @entity5 control that was achieved. Thus, functioning muscle transplantation was extremely useful in limb salvage surgery from the functional and oncologic viewpoints.

Functioning muscle transplantation after wide excision of XXXX in the extremity.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity242 :: ('MESH:D012509', 'Disease') :: ['sarcomas'] @entity3478 :: ('MESH:D001859', 'Disease') :: ['bone tumors'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'local tumor'] @entity392 :: ('MESH:D014012', 'Disease') :: ['tensor fascia lata'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle loss']
@entity242 :: (MESH:D012509,Disease) :: ['sarcomas']
