Traumatic Hemipelvectomy with Free Gluteus Maximus Fillet Flap Covers: A Case Report
- Author:
WI Faisham
;
WS Azman
;
TMS Muzaffar
;
DAJ Muslim
;
AH Azhar
;
MM Yahya
- Publication Type:Journal Article
- Keywords:
traumatic hemipelvectomy, amputation, and free gluteus maximus fillet flap
- From:Malaysian Orthopaedic Journal
2012;6(2):37-39
- CountryMalaysia
- Language:English
-
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.
