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. 2011 Jan 21;108(3):32–38. doi: 10.3238/arztebl.2011.0032

Figure 2.

A 27-year-old woman with fibrosarcoma (T1b, N0, M0, G3) on the dorsum of the left foot.

Figure 2

  1. R1 resection elsewhere

  2. MRI showed a residual contrast-enhancing mass; below-knee amputation was recommended elsewhere.

  3. Oncologically adequate secondary wide resection including the extensor muscles of the toes and the dorsal cortex of the tarsal bones. The tendon of the anterior tibial muscle could be preserved owing to its isolated synovial position, and the divided toe extensors were tenodesed to prevent the development of claw toes. The defect was covered by the microsurgical transfer of a fasciocutaneous flap from the upper arm. Adjuvant radiotherapy was carried out postoperatively.

  4. Functional outcome 3 years after operation