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![Soft tissue reconstruction after lower extremity limb-sparing pediatric sarcoma resection](https://image.oaes.cc/ca13cdc8-102f-40fc-ac97-15868a118e57/1504.fig.3.png)
Figure 3. Proximal tibia osteosarcoma resection and reconstruction with endoprosthesis. A: resection site after en bloc tumor resection; B: tumor specimen with hinged endoprosthesis for bone reconstruction; C and D: placement of endoprosthesis; E: total implant coverage with gastrocnemius and soleus muscle flaps; F: proximal and distal primary closure; G and H: central portion with exposed muscle flap and skin graft