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

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 en...

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Bibliographic Details
Published in:Plastic surgery case studies 2017-12, Vol.3
Main Authors: Frank, Tym F., Hill, Mark K., Clarkson, Paul W.
Format: Article
Language:English
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Summary: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.
ISSN:2513-826X
2513-826X
DOI:10.1177/2513826X17728259