Salvage of planned ALT flap with rectus femoris free flap for pediatric lower extremity reconstruction: A demonstrative case report

Gelidan, Adnan G.

doi:10.1016/j.ijscr.2018.08.005

Cited by 2 publications

(1 citation statement)

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“…3 The best available technique for reconstruction is free tissue transfer. 4 Free tissue transfer using microsurgical techniques has become a valuable method for salvaging lower extremities after trauma. 2 Many protocols have been described to reconstruct severe lower extremity trauma and all include the same basic principles: wide debridement, primary fracture stabilization, early coverage with well vascularized tissue, and skeletal reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Microsurgery in complex trauma of pelvic limb in a pediatric patient: case report

et al. 2019

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Complex trauma is defined as the condition secondary to the exchange of kinetic energy of two or more tissues in one limb. This entity is a surgical emergency that can have many sequelae and can even result in limb loss. An 11-yearold female patient presents complex pelvic limb trauma secondary to contuse injury caused by a helicopter's rotor blades. Pelvic limb reconstruction was performed with iliac crest bone graft, the fracture was stabilized with an external fixator and the skin defect was covered with an anterolateral microvascular thigh flap (ALT). There was an adequate integration of the bone graft with adequate skin coverage thanks to the ALT thigh flap. The patient presented discreet limb shortening as consequence. Currently, microsurgery is the only medical option that meets the objectives of limb reconstruction. Microsurgical techniques can be used in pediatric and adult patients. The success of any recovery from complex trauma is vigorous surgical cleaning, avoiding sequential and/or multiple washes.

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Section: Introductionmentioning

confidence: 99%