Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report
Abstract Background Major pelvic trauma (MPT) with traumatic hemipelvectomy (THP) is rare, but it is a catastrophic health problem caused by high-energy injury leading to separation of the lower extremity from the axial skeleton, which is associated with a high incidence of intra-abdominal and multi...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2020-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-01009-2 |
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| author | Saleh Al-wageeh Faisal Ahmed Khalil Al-naggar Mohammad Reza Askarpour Ebrahim Al-shami |
| author_facet | Saleh Al-wageeh Faisal Ahmed Khalil Al-naggar Mohammad Reza Askarpour Ebrahim Al-shami |
| author_sort | Saleh Al-wageeh |
| collection | DOAJ |
| description | Abstract Background Major pelvic trauma (MPT) with traumatic hemipelvectomy (THP) is rare, but it is a catastrophic health problem caused by high-energy injury leading to separation of the lower extremity from the axial skeleton, which is associated with a high incidence of intra-abdominal and multi-systemic injuries. THP is generally performed as a lifesaving protocol to return the patient to an active life. Case report A 12-year male patient exposed to major pelvic trauma with bilateral THP survived the trauma and multiple lifesaving operations. The anterolateral thigh flap is the method used for wound reconstruction. The follow-up was ended with colostomy and cystostomy with wheelchair mobilization. To the best of our knowledge, there have been a few bilateral THP reports, and our case is the second one to be successfully treated with an anterolateral thigh flap. Conclusion MPT with THP is the primary cause of death among trauma patients. Life-threatening hemorrhage is the usual cause of death, which is a strong indication for THP to save life. |
| format | Article |
| id | doaj-art-8e6788eb6c9e42e0b5bab1ac0400bbfe |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-8e6788eb6c9e42e0b5bab1ac0400bbfe2025-08-20T02:52:09ZengJapan Surgical SocietySurgical Case Reports2198-77932020-10-01611510.1186/s40792-020-01009-2Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case reportSaleh Al-wageeh0Faisal Ahmed1Khalil Al-naggar2Mohammad Reza Askarpour3Ebrahim Al-shami4Department of General Surgery, Ibb University of Medical ScienceDepartment of Urology, Urology Research Center, Al-Thora General Hospital, Ibb University of Medical ScienceDepartment of Urology, Urology Research Center, Al-Thora General Hospital, Ibb University of Medical ScienceDepartment of Urology, Shiraz University of Medical SciencesDepartment of Urology, Urology Research Center, Ibb University of Medical Science, Al-Thora hospitalAbstract Background Major pelvic trauma (MPT) with traumatic hemipelvectomy (THP) is rare, but it is a catastrophic health problem caused by high-energy injury leading to separation of the lower extremity from the axial skeleton, which is associated with a high incidence of intra-abdominal and multi-systemic injuries. THP is generally performed as a lifesaving protocol to return the patient to an active life. Case report A 12-year male patient exposed to major pelvic trauma with bilateral THP survived the trauma and multiple lifesaving operations. The anterolateral thigh flap is the method used for wound reconstruction. The follow-up was ended with colostomy and cystostomy with wheelchair mobilization. To the best of our knowledge, there have been a few bilateral THP reports, and our case is the second one to be successfully treated with an anterolateral thigh flap. Conclusion MPT with THP is the primary cause of death among trauma patients. Life-threatening hemorrhage is the usual cause of death, which is a strong indication for THP to save life.http://link.springer.com/article/10.1186/s40792-020-01009-2AmputationHemipelvectomyMyocutaneous flapReconstructionTrauma |
| spellingShingle | Saleh Al-wageeh Faisal Ahmed Khalil Al-naggar Mohammad Reza Askarpour Ebrahim Al-shami Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report Surgical Case Reports Amputation Hemipelvectomy Myocutaneous flap Reconstruction Trauma |
| title | Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report |
| title_full | Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report |
| title_fullStr | Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report |
| title_full_unstemmed | Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report |
| title_short | Use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma: a case report |
| title_sort | use of anterolateral thigh flap for reconstruction of traumatic bilateral hemipelvectomy after major pelvic trauma a case report |
| topic | Amputation Hemipelvectomy Myocutaneous flap Reconstruction Trauma |
| url | http://link.springer.com/article/10.1186/s40792-020-01009-2 |
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