Published : 31 March 2025

A Successful Limb-Sparing Approach in Synovial Sarcoma of The Foot: A Case Report

  • Sara Ester Triatmoko
  • Bob Andinata
  • Parintosa Atmodiwirjo
  • Mohamad Rachadian Ramadan
  • Elida Sari Siburian
  • Andika Prasdipta Hidayat
  • Elisa Jonathan
  • Jesica Putri Sudarman

Volume 12, Issue 1, (2025): Jurnal Plastik Rekonstruksi | Pages : 58-61

DOI: 10.14228/jprjournal.v12i1.17   Reader : 48 times PDF Download : 8 times

Abstract

Synovial sarcoma, although rare, is commonly diagnosed in patients under 20 years of age. This case presents the case of a 21-year-old female with synovial sarcoma affecting the 1st to 3rd metatarsal and tarsal bones. She underwent extensive tumor resection, followed by fibula free flap. The fibula was reconstructed into an L-shape to provide structural support. A bypass was performed because of compromised blood flow to the first digit, but the digit failed. Skin necrosis occurred after tumor dissection, necessitating a second reconstruction with an anterolateral thigh flap (ALT) after six weeks. At the years follow-up, the reconstruction was stable, and radiation therapy further improved the outcomes. The patient’s gait was satisfactory, with special shoes for weight bearing. This case demonstrates the potential of limb-sparing surgery with free fibula flaps for synovial sarcoma resection, which offers promising functional and psychological benefits.

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].

References

  1. 1. Rammelt S, Fritzsche H, Hofbauer C, Schaser KD. Malignant tumours of the foot and ankle. Foot Ankle Surg. 2020 Jun;26(4):363-370.
  2. 2. Yu K, Chen Y, Song K, Xiong F, Tian Y, Guan H, Li F. Impact of Limb Salvage on Prognosis of Patients Diagnosed With Extremity Bone and Soft Tissue Sarcomas. Front Oncol. 2022 Jun 6;12:873323.
  3. 3. Roșca AC, Baciu CC, Burtăverde V, Mateizer A. Psychological Consequences in Patients With Amputation of a Limb. An Interpretative-Phenomenological Analysis. Front Psychol. 2021 May 26;12:537493.
  4. 4. Mckechnie PS, John A. Anxiety and depression following traumatic limb amputation: a systematic review. Injury. 2014 Dec;45(12):1859-66.
  5. 5. Hayakawa K, Matsumoto S, Ae K, Tanizawa T, Kawai A. Limb salvage surgery without radiation therapy for soft tissue sarcoma of the foot. Foot Ankle Surg Tech Rep Cases. 2021;1(3):100097.
  6. 6. Rosemberg D, Sposeto RB, Macedo R, Fernandes T, Godoy-Santos A. Staged management of Lisfranc complex injury: Case report and literature review. Fuß & Sprunggelenk. 2021;19.
  7. 7. Lykoudis EG, Dimitrios P, Alexandros BE. One-stage reconstruction of the complex midfoot defect with a multiple osteotomized free fibular osteocutaneous flap: case report and literature review. Microsurgery. 2010;30(1):64-9.
  8. 8. Arnež ZM, Troisi L, Colavitti G, Papa G, Leuzzi S, Stocco C, Ramella V. Reconstruction of the Weight Bearing Area of the Foot with Vascularized Chimeric Osteocutaneous Fibular Flap: A Case Report. J Foot Ankle Surg. 2020 Jan-Feb;59(1):128-130.
  9. 9. Hara H, Kawamoto T, Onishi Y, Fujioka H, Nishida K, Kuroda R, Kurosaka M, Akisue T. Reconstruction of the Midfoot Using a Free Vascularized Fibular Graft After En Bloc Excision for Giant Cell Tumor of the Tarsal Bones: A Case Report. J Foot Ankle Surg. 2016 Jul-Aug;55(4):838-41
PDF

Keywords

  • Synovial sarcoma
  • Free flap
  • Microsurgery

Author Information

Sara Ester Triatmoko

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Brawijaya Hospital Saharjo, Jakarta, Indonesia.

Email: saraester.triatmoko@gmail.com

ORCID : https://orcid.org/0000-0001-5528-0976

Bob Andinata

Oncology Surgery, Department of Surgery, Brawijaya Hospital Saharjo, Jakarta, Indonesia.

Email: bobandinata@dharmais-surgonc.com

ORCID : https://orcid.org/0000-0002-0607-9747

Parintosa Atmodiwirjo

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.

Email: parintosa.atmodiwirjo@ui.ac.id

ORCID : https://orcid.org/0000-0002-8912-0468

Mohamad Rachadian Ramadan

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.

Email: rachadianramadan@gmail.com

ORCID : https://orcid.org/0000-0003-2231-9314

Elida Sari Siburian

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Fatmawati Hospital, Jakarta, Indonesia.

Email: sari_siburian@yahoo.com

ORCID : https://orcid.org/0009-0007-8353-7768

Andika Prasdipta Hidayat

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Fatmawati Hospital, Jakarta, Indonesia.

Email: andikaprasdipta@gmail.com

ORCID : https://orcid.org/0009-0009-9907-8396

Elisa Jonathan

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Fatmawati Hospital, Jakarta, Indonesia, Indonesia.

Email: elisajonathan20@gmail.com

Jesica Putri Sudarman

Plastic, Reconstructive, & Aesthetic Surgery Division, Department of Surgery, Fatmawati Hospital, Jakarta, Indonesia, Indonesia.

Email: cikasudarman@gmail.com

ORCID : https://orcid.org/0009-0008-8901-1115

Article History

Submitted : 19 January 2025
Revised : 19 January 2025
Published : 31 March 2025

How to Cite This

Triatmoko, S. E., Andinata, B., Atmodiwirjo, P., Ramadan, M. R., Siburian, E. S., Hidayat, A. P., … Sudarman, J. P. (2025). A Successful Limb-Sparing Approach in Synovial Sarcoma of The Foot: A Case Report. Jurnal Plastik Rekonstruksi, 12(1), 58–61. https://doi.org/10.14228/jprjournal.v12i1.17

Crossmark and Dimension

Verify authenticity via CrossMark

Share This Article

Copyright & License

Authors retain the copyright of the article and grant Jurnal Plastik Rekonstruksi the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License. Articles opting for open access will be immediately available and permanently free for everyone to read, download and share from the time of publication.

This work is licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Open Access Statement

Jurnal Plastik Rekonstruksi is an open access journal. This journal provides immediate open access to every article on the principle that making research freely accessible to the public; It supports a greater global exchange of knowledge; and an invaluable way to boost the visibility and impact of research.

This also means that Jurnal Plastik Rekonstruksi it's free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than that inseparable from gaining access to the Internet itself.

Journal Info

Profile Image
Editor-in-Chief: dr. Narottama Tunjung, Sp.B.P.R.E., F.L.
Frequency: 2 issues per year (March & September)
National Accreditation: Sinta 3
Email: info@jprjournal.com

Video Article

Multistages Aesthetic Refinement Post Anterolateral Thigh Free Flap in Head and Neck Reconstruction

Atmodiwirjo P, Ramadan MR, Triatmoko SE, Arina MN. Multistages Aesthetic Refinement Post Anterolateral Thigh Free Flap in Head and Neck Reconstruction. J Plast Rekons 2020;7(1):38-42. DOI: https://doi.org/10.14228/jpr.v7i1.298

How to Harvest The Radial Forearm Free Flap

Atmodiwirjo P, Ramadan MR, Triatmoko SE, Ralena NA. How to Harvest Radial Forearm Free Flap. J Plast Rekons 2020;7(1):7-9. DOI: https://doi.org/10.14228/jpr.v7i1.296  

ACCREDITATION

Since October 2020, Jurnal Plastik Rekonstruksi has received Accreditation from the Ministry of Technology Research / National Research and Innovation Agency (SINTA 3)

https://sinta.ristekbrin.go.id/journals/detail?id=2054

Indexed by:

   

.    

custom_header

ISSN : 2089-6492
Online ISSN : 2089-9734
Publisher: The Lingkar Studi Bedah Plastik Foundation and is the official journal of Plastic Reconstructive and Aesthetic Surgery Residency Program, Faculty of Medicine, Universitas Indonesia.

Current Issue