Rico MG, Linares GLM, Delgado CEA, Estrada VEG, Alcántara RGL

Language: Spanish
References: 15
Page: 175-181
PDF size: 258.15 Kb.

ABSTRACT

Fibromatosis that involves locally aggressive lesions with a common histology may invade neurovascular structures. Surgical treatment depends on the location. Extensive dissection is the treatment of choice for small and anatomically accessible lesions. Radical surgery is indicated for recurrence, large tumors and tumors that involve neurovascular structures. Material and methods. Case report and literature review. The purpose of this paper is to show a surgical treatment modality emphasizing the reconstructive aspects of the foot of a patient with fibromatosis. Radical surgery was considered at the beginning because the imaging tests showed an apparently inoperable tumor. A conservative procedure was planned and performed; the fouryear follow-up is reported. Results. Twenty-six year-old female patient who underwent conservative left foot surgery for aggressive musculoaponeurotic fibromatosis; she also had contralateral developmental hip dysplasia. The 4-year follow-up reported no tumor activity and appropriate gait. Conclusions. The imaging showed an apparently inoperable tumor. However, the careful surgical exploration performed in agreement with the oncologic criteria led to a conservative surgery with a tumor-free bed. Although the vascular supply of the foot may be compromised by the tumor, the foot may develop collateral blood flow that may allow conser vative surgery with the integration of the bone graft. Reconstruction of the midfoot with an autologous graft is possible and results in an anatomical foot that biomechanically permits ambulation.

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