Figure 2.

Wide resection for pleomorphic sarcoma of the right knee after radiotherapy and reconstruction with a pedicled medial gastrocnemius muscle flap and skin graft. (A,B) Preoperative planning is important to avoid basing the flap on perforator vessels located inside the irradiated field. In this case, a muscle flap from the posterior lodge was harvested. (C) Surgical field after wide excision of medial ligament and articular capsule; the defect resulted in the exposition of the knee joint, (D) requiring a stable and safe reconstruction with a muscle flap. (E) The area was covered by partial thickness skin grafts. (F) Clinical results at one-year follow-up.