Enrico Martin

197 Functional reconstructions in extremity STS Table 3 Average functional outcomes in lower extremity reconstructions. Study Flaps (N) Objective measures a Subjective measures a MRC ROM S MSTS KSS LEFS SF-36 K-scale Upper leg & hip Hamstrings Doi 1999 LD (5) 3.2 20° lag 82.7% Grinsell 2012 LD (4) 4.0 91.2% 63.5 Quadriceps Doi 1999 LD (6) + gracilis (3), RF + gracilis (1) 3.7 9° lag 90.5% Fischer 2015 BF (17) +/- gracilis or semitendinosus (6) 4.0 66% 78% 82 Grinsell 2012 Gracilis (1), TRAM (2) 5.0 100% 72.3 Innocenti 2009 LD (10) + sartorius (4) 2.8 Good b Stranix 2017 Composite ALT (1) 76.7% Walley 2017 Composite ALT (2) 4.5 5-75° 71.7% 77 Adductors Doi 1999 LD (1) 3.0 0° 96.7% Grinsell 2012 Gracilis (1), RA (1) 4.5 86.7% 69.0 Gluteus Grinsell 2012 LD (1), TRAM (1) 5.0 100% 80.0 Sciatic nerve Melendez 2001 Peroneal nerve (5) +/- sural nerve (3) Knee: 5.0 Ankle: 2.0 Protective Tokumoto 2018 Vascularized sural nerve (2) Knee: 4.0 Ankle: 1.0 Protective Lower leg Anterior compartment Doi 1999 Gracilis (2) 3.5 0° lag 95.0% Grinsell 2012 Gracilis (1) 5.0 100% 78.0 Gunterberg 1980 TT: TP to EDL and PT (2) 0-5° Stranix 2017 Composite ALT (2) 85.0% Posterior compartment Grinsell 2012 LD (1), gracilis (1), parascapular + sural nerve(1) 4.0 91.1% 55.0 a = DASH: disability of the arm, shoulder, and hand questionnaire (0-100 points, higher score correlates to higher disability), K-scale: Karnofsky performance status scale (0-100, higher score correlates to higher function), KSS: knee society score (0-100 points, higher score correlates to higher function), LEFS: lower extremity functional scale (0-80 points, higher score correlates to higher function), (0-5), MRC/MMT: medical research council muscle grade / manual muscle testing (0-5), MSTS: musculoskeletal tumor society scale (0-30 points, higher score correlates to higher function), ROM: range of motion (degrees), SF-36: short-form 36 (8 subdomains, total: 0-100%, higher score correlates higher well-being), b = no specified percentages. ALT: anterolateral thigh flap, BF: biceps femoris muscle transfer, EDL: extensor digitorum longus, KSS: knee society score, LD: free functioning latissimus dorsi muscle flap, LEFS: lower extremity functional scale, MRC: medical research council muscle grade, MSTS: musculoskeletal tumor society rating scale, N: number of, PT: peroneus tertius, ROM: range of motion, RA: rectus abdominis muscle flap, RF: free functioning rectus femoris muscle flap, SF-36: short-form 36, TESS: Toronto extremity salvage score, TFL: tensor fascia lata flap, TP: tibialis posterior muscle, TRAM: transverse abdominal muscle flap, TT: tendon transfer 8