Original article
Authors
Aim: To report our personal experience in hindfoot reconstruction using an anterolateral thigh (ALT) free flap following radical resection of a high-grade synovial sarcoma.
Methods: The patient underwent clinical and imaging assessments, and a biopsy of the lesion confirmed the diagnosis of synovial sarcoma (SS) of the hindfoot. A multidisciplinary team was involved to define the most appropriate therapeutic strategy.
Results: After radical resection of the tumor mass, soft tissue coverage of the extensive skin defect was achieved using an ALT free flap. No local recurrences were observed during the follow-up period. At ap proximately twenty-four months after surgical treatment, the patient is able to ambulate independently, with no significant limitations in daily activities.
Conclusion: The complex management of this rare disease requires a dedicated reference centre for foot and ankle surgery, supported by a multidisciplinary team including expert orthopaedic and plastic surgeons, as well as specialized oncologists, to ensure accurate diagnosis and appropriate treatment. Key words: flap, foot, limb salvage, reconstructive surgical procedures, soft tissue sarcoma
Keywords: flap, Foot, limb salvage, Reconstructive Surgical Procedures, Soft Tissue Sarcoma.
How to Cite: Comisi, C. , Greco, T. , Fulchignoni, C. , Mascio, A. , Farine, F. , Troiano, E. , Mondanelli, N. , Menichini, G. , Pataia, E. , Maccauro, G. & Perisano, C. (2025) “A rare case of high-grade synovial sarcoma of the hindfoot”, Medicinski glasnik. 22(2). doi: https://doi.org/10.17392/1967-22-02