Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap
Open pelvic ring fractures can have devastating functional consequences including prolonged disability, chronic pain, infection, and even death. These injuries are uncommon but often involve soft tissue defects. Without early and appropriate coverage, patients are likely to sustain infection, which...
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2021
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oai:doaj.org-article:a16117889e274a2f948e63f727523de82021-12-02T05:02:03ZCase series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap2352-587810.1016/j.jpra.2021.07.008https://doaj.org/article/a16117889e274a2f948e63f727523de82021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000693https://doaj.org/toc/2352-5878Open pelvic ring fractures can have devastating functional consequences including prolonged disability, chronic pain, infection, and even death. These injuries are uncommon but often involve soft tissue defects. Without early and appropriate coverage, patients are likely to sustain infection, which can be fatal. Here, we present the successful use of a pedicled ALT flap in two patients with soft tissue defects due to open pelvic ring injury. The pedicled ALT flap can be harvested as a composite flap comprising a portion of the skin, fascia, and muscle depending on the defect. Although the ALT flap has often been employed for abdominal wall and abdomino-perineal reconstruction, this is the first case series to report the use of the ALT flap in a subacute traumatic setting for pelvic ring reconstruction.Michael WellsNicholas RomeoJames GatherwrightElsevierarticleAntero-lateral thighFlapPelvicRingFractureSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 84-90 (2021) |
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DOAJ |
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Antero-lateral thigh Flap Pelvic Ring Fracture Surgery RD1-811 |
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Antero-lateral thigh Flap Pelvic Ring Fracture Surgery RD1-811 Michael Wells Nicholas Romeo James Gatherwright Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
description |
Open pelvic ring fractures can have devastating functional consequences including prolonged disability, chronic pain, infection, and even death. These injuries are uncommon but often involve soft tissue defects. Without early and appropriate coverage, patients are likely to sustain infection, which can be fatal. Here, we present the successful use of a pedicled ALT flap in two patients with soft tissue defects due to open pelvic ring injury. The pedicled ALT flap can be harvested as a composite flap comprising a portion of the skin, fascia, and muscle depending on the defect. Although the ALT flap has often been employed for abdominal wall and abdomino-perineal reconstruction, this is the first case series to report the use of the ALT flap in a subacute traumatic setting for pelvic ring reconstruction. |
format |
article |
author |
Michael Wells Nicholas Romeo James Gatherwright |
author_facet |
Michael Wells Nicholas Romeo James Gatherwright |
author_sort |
Michael Wells |
title |
Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
title_short |
Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
title_full |
Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
title_fullStr |
Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
title_full_unstemmed |
Case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
title_sort |
case series of two successful pelvic ring reconstructions using a pedicled anterolateral thigh flap |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/a16117889e274a2f948e63f727523de8 |
work_keys_str_mv |
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_version_ |
1718400782857928704 |