CASE 93: Ankle Recurrent Synovial Sarcoma

A young female patient, who had previously undergone surgery for synovial sarcoma in the ankle and was recommended amputation due to recurrence, had the tumor removed with clean margins. The tumor was then transferred to the tibialis posterior nerve using the sural nerve taken from the opposite leg, and the resulting space was filled with the saphenous nerve.

Preoperative: MRI shows an irregularly bordered, heterogeneous mass in the medial ankle.

During the operation: The video shows the determination of the incision line and the area to be harvested, the space created after resection, the preparation of the flap, and the transfer of the sural nerve taken from the opposite leg to the tibialis posterior nerve.

During the operation: Clinical appearance of the removed tumor tissue.

Surgical Procedure: The separation and application of the flap is shown.