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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Autores principales: Michael Wells, Nicholas Romeo, James Gatherwright
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/a16117889e274a2f948e63f727523de8
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Antero-lateral thigh
Flap
Pelvic
Ring
Fracture
Surgery
RD1-811
spellingShingle 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
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AT nicholasromeo caseseriesoftwosuccessfulpelvicringreconstructionsusingapedicledanterolateralthighflap
AT jamesgatherwright caseseriesoftwosuccessfulpelvicringreconstructionsusingapedicledanterolateralthighflap
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