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. 2012 Nov;6(3):37-9.
doi: 10.5704/MOJ.1207.002.

Traumatic hemipelvectomy with free gluteus maximus fillet flap covers: a case report

Wi Faisham  1 , Ws Azman  2 , Tms Muzaffar  1 , Daj Muslim  1 , Ah Azhar  3 , Mm Yahya  3
Affiliations

Traumatic hemipelvectomy with free gluteus maximus fillet flap covers: a case report

Wi Faisham et al. Malays Orthop J. 2012 Nov.

Abstract

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.

Key words: traumatic hemipelvectomy, amputation, and free gluteus maximus fillet flap.

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Figures

<b>Fig. 1a</b>: Anterior view of traumatic right hemipelvectomy wound.
Fig. 1a: Anterior view of traumatic right hemipelvectomy wound.
<b>Fig. 1b</b>: Plain radiograph showed wide diastasis of symphysis pubis and separation of right sacroiliac joint.
Fig. 1b: Plain radiograph showed wide diastasis of symphysis pubis and separation of right sacroiliac joint.
<b>Fig. 1c</b>: Computed Tomography (CT imaging) revealed thrombosed external iliac artery. A 3D reconstruction image showed vessels thrombosed at the common iliac artery.
Fig. 1c: Computed Tomography (CT imaging) revealed thrombosed external iliac artery. A 3D reconstruction image showed vessels thrombosed at the common iliac artery.
<b>Fig 2a</b>: Intra-operative photograph post anastomosis of inferior gluteal artery to external iliac artery of gluteus maximus flap.
Fig 2a: Intra-operative photograph post anastomosis of inferior gluteal artery to external iliac artery of gluteus maximus flap.
<b>Fig 2b</b>: A completely healed traumatic hemipelvectomy wound covered with free gluteus maximus fillet flap
Fig 2b: A completely healed traumatic hemipelvectomy wound covered with free gluteus maximus fillet flap
See this image and copyright information in PMC

References

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