Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population
Soft tissue defects of the sacroiliac area, usually can be covered by local flaps. However, for more complex defects, free flap transfers became necessary. We report a case of reconstruction with a free anterolateral thigh (ALT) perforator flap for coverage of a sacroiliac bone exposure in a child....
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2016-08-01
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Series: | Journal of Pediatric Surgery Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576616300318 |
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author | Alejandro E. Ramirez Carolina A. Soto Francisco J. Nuñez Cecilia A. Briones David A. Ferj Carmen G. Morovic |
author_facet | Alejandro E. Ramirez Carolina A. Soto Francisco J. Nuñez Cecilia A. Briones David A. Ferj Carmen G. Morovic |
author_sort | Alejandro E. Ramirez |
collection | DOAJ |
description | Soft tissue defects of the sacroiliac area, usually can be covered by local flaps. However, for more complex defects, free flap transfers became necessary. We report a case of reconstruction with a free anterolateral thigh (ALT) perforator flap for coverage of a sacroiliac bone exposure in a child. A six-years-old boy, suffered a car accident, resulting in pelvic and sacral fractures, as well as degloving injuries of the left thigh, buttocks, and trunk. The patient evolved with an unstable scar over the sacroiliac region with bone exposure. ALT free flap was performed. Left superior gluteal vessels were used as the recipient vessels. A stable coverage was achieved without complications. This is the first case reported of a free ALT perforator flap for sacroiliac coverage in the pediatric population. In cases of complex reconstruction in children, free perforator flap is a safe choice and should be considered in the algorithm of treatment. |
first_indexed | 2024-12-11T17:02:51Z |
format | Article |
id | doaj.art-2a40f7242daf4c21be6abb0106cc5d74 |
institution | Directory Open Access Journal |
issn | 2213-5766 |
language | English |
last_indexed | 2024-12-11T17:02:51Z |
publishDate | 2016-08-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Pediatric Surgery Case Reports |
spelling | doaj.art-2a40f7242daf4c21be6abb0106cc5d742022-12-22T00:57:46ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-08-0111C353810.1016/j.epsc.2016.06.001Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric populationAlejandro E. Ramirez0Carolina A. Soto1Francisco J. Nuñez2Cecilia A. Briones3David A. Ferj4Carmen G. Morovic5Dr. Luis Calvo Mackenna Hospital, Santiago, ChilePontificia Universidad Católica de Chile, Santiago, ChileUniversidad de Chile, Santiago, ChileDr. Luis Calvo Mackenna Hospital, Santiago, ChileDr. Luis Calvo Mackenna Hospital, Santiago, ChileDr. Luis Calvo Mackenna Hospital, Santiago, ChileSoft tissue defects of the sacroiliac area, usually can be covered by local flaps. However, for more complex defects, free flap transfers became necessary. We report a case of reconstruction with a free anterolateral thigh (ALT) perforator flap for coverage of a sacroiliac bone exposure in a child. A six-years-old boy, suffered a car accident, resulting in pelvic and sacral fractures, as well as degloving injuries of the left thigh, buttocks, and trunk. The patient evolved with an unstable scar over the sacroiliac region with bone exposure. ALT free flap was performed. Left superior gluteal vessels were used as the recipient vessels. A stable coverage was achieved without complications. This is the first case reported of a free ALT perforator flap for sacroiliac coverage in the pediatric population. In cases of complex reconstruction in children, free perforator flap is a safe choice and should be considered in the algorithm of treatment.http://www.sciencedirect.com/science/article/pii/S2213576616300318Free flapSacroiliacPediatric |
spellingShingle | Alejandro E. Ramirez Carolina A. Soto Francisco J. Nuñez Cecilia A. Briones David A. Ferj Carmen G. Morovic Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population Journal of Pediatric Surgery Case Reports Free flap Sacroiliac Pediatric |
title | Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population |
title_full | Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population |
title_fullStr | Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population |
title_full_unstemmed | Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population |
title_short | Free anterolateral thigh perforator flap for sacroiliac defect: First case report in pediatric population |
title_sort | free anterolateral thigh perforator flap for sacroiliac defect first case report in pediatric population |
topic | Free flap Sacroiliac Pediatric |
url | http://www.sciencedirect.com/science/article/pii/S2213576616300318 |
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