Reconstruction of a Massive Traumatic Necrotizing Wound With Contiguous Anterior Thigh and Lower Leg Fillet Flap With Leg and Hemipelvic Amputation: A Case Report

Plastic Surgery Case Studies

Tym F.Frank¹ 

关键词: hemipelvectomy;    reconstructive surgical procedures;    surgical flaps/blood supply;    leg injuries/surgery;    osteomyelitis/surgery;    fractures;    open/surgery;   

DOI  :  10.1177/2513826X17728259

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Reconstruction of massive soft tissue defects is challenging in the setting of polytrauma. We present a case report of a polytrauma patient with an open acetabulum fracture with a necrotizing wound that was managed with a hemipelvectomy and contiguous thigh and leg fillet flap. The harvest of the entire leg flap was utilized due to the presence of a high cervical spine injury that rendered the lower extremities non-functional. The patient’s tenuous medical status was normalized once the necrotizing wound was covered, and subsequent complications related to the flap were minimized. The patient currently enjoys a reasonable quality of life consistent with that of a C7 quadriplegic.

【 授权许可】

CC BY