Traumatic Hemipelvectomy with Free Gluteus Maximus Fillet Flap Covers: A Case Report
Journal Title: Malaysian Orthopaedic Journal - Year 2012, Vol 6, Issue 2
Abstract
Traumatic hemipelvectomy is an uncommon and life 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.
Authors and Affiliations
WI Faisham, WS Azman, TMS Tengku Muzaffar, DAJ Muslim, AH Azhar, MM Yahya
Keywords
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- EP ID EP303549
- DOI 10.5704/MOJ.1207.002
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