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....

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Main Authors: Alejandro E. Ramirez, Carolina A. Soto, Francisco J. Nuñez, Cecilia A. Briones, David A. Ferj, Carmen G. Morovic
Format: Article
Language:English
Published: Elsevier 2016-08-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
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.
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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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