Objective To evaluate the muscular flap transfer for the shank salvage in patients with osteosarcoma. Method Seven patients with osteosarcoma of the tibia or fibula were treated, aged from 12 to 24 years. Shank salvage involves three phases, (l )wide resection of the tumor, (2)reconstruction of the bone and joint defect by artificial prosthesis or vascularised fibular autograft combined with allograft, and (3)reconstruction of the soft tissue by muscular transfer. Result To reconstruct the soft tissues, ...