Traumatic Hemipelvectomy with Free Gluteus Maximus Fillet Flap Covers: A Case Report

Autor: WI Faisham, WS Azman, TMS Muzaffar, DAJ Muslim, AH Azhar, MM Yahya
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Malaysian Orthopaedic Journal, Vol 6, Iss 2, Pp 37-39 (2012)
Druh dokumentu: article
ISSN: 1985-2533
DOI: 10.5704/MOJ.1207.002
Popis: threatening injury. We report a case of a 16-year-old boy involved in a traffic accident who presented with an almost circumferential pelvic wound with wide diastasis of the right sacroiliac joint and symphysis pubis. The injury was associated with complete avulsion of external and internal iliac vessels as well as the femoral and sciatic nerves. He also had ipsilateral open comminuted fractures of the femur and tibia. Emergency debridement and completion of amputation with preservation of the posterior gluteal flap and primary anastomosis of the inferior gluteal vessels to the internal iliac artery stump were performed. A free fillet flap was used to close the massive exposed area.
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