SS  Vol.1 No.2 , October 2010
Reconstruction of Hemipelvectomy Defect Using a Fillet Flap with Femoral Periosteum
Abstract
Backgrounds: Reconstruction after hemipelvectomy is very important for rehabilitation into society. The pelvis plays an important role for support of the intra-abdominal organs. Methods: We operated 3 cases using fillet flaps with the femoral periosteum for reconstruction of hemipelvectomy defect. Results: It is useful to elevate the flap all around with the femoral periosteum, because the periosteum can be sutured to supporting pelvic structures with the aim to support intra-abdominal organs. Conclusion: Without alternative supports for the bony pelvis, pelvic reconstructions are at risk for hernia and it may be difficult for outpatients to fit their habiliments after radical cure. The rigid support for the intra-abdominal organs occurs in association with the suture pelvic and femoral periosteum.

Cite this paper
nullM. Yazawa, T. Kaneko, S. Katsumata and K. Kishi, "Reconstruction of Hemipelvectomy Defect Using a Fillet Flap with Femoral Periosteum," Surgical Science, Vol. 1 No. 2, 2010, pp. 49-52. doi: 10.4236/ss.2010.12010.
References

[1]   W. H. O. Bohne, “Atras of Amputation Surgery, Hemipe- lvectomy,” New York Thieme Medical Publishers, Inc., New York, 1987.

[2]   M. W. Chapman, “Operative Orthopaedics, Amputations,” Philadelphia J. B. Lippincott Company, Philadelphia, 1993.

[3]   D. W. Chang, J. E. Lee, Z. L. Gokaslan and G. L. Robb, “Closure of Hemicorporectomy with Bilateral Subtotal Thigh Flaps,” Plastic and Reconstructive Surgery, Vol. 105, No. 5, 2000, pp. 1742-1746.

[4]   C. E. Butler, “Reconstruction of an Extensive Hemi- pelvectomy Defect Using a Pedicled Upper and Lower Leg in-Continuity Fillet Flap,” Plastic and Reconstructive Surgery, Vol. 109, No. 3, 2002, pp. 1060-1065.

[5]   N. B. Meland, E. J. Ivy and J. E. Woods, “Coverage of Chest Wall and Pelvic Defects with the external Oblique Musculofasciocutaneous Flap,” Annals of Plastic Surgery, Vol. 21, No. 4, 1988, pp. 297-302.

[6]   D. L. Larson and M. D. Liang, “The Quadriceps Musculocutaneus Flap: A Reliable, Sensate Flap for the Hemi- pelvectomy Defect,” Plastic and Reconstructive Surgery, Vol. 72, No. 3, 1983, pp. 347-353.

[7]   M. V. Kuntscher, D. Erdmann, H. H. Homann, H. U. Steinau, S. L. Levin and G. Germann, “The Concept of Fillet Flaps: Classification, Indications, and Analysis of their Clinical Value,” Plastic and Reconstructive Surgery, Vol. 108, No. 4, 2001, pp. 885-896.

[8]   M. L. Workman, D. F. Bailey and B. L. Cunningham, “Popliteal-Based Filleted Lower Leg Musculocutaneous Free-Flap Coverage of a Hemipelvectomy Defect,” Plastic and Reconstructive Surgery, Vol. 89, No. 2, 1992, pp. 326-329.

[9]   Y. Yamamoto, H. Minakawa and N. Takeda, “Pelvic Reconstruction with a Free Fillet Lower Leg Flap,” Plastic and Reconstructive Surgery, Vol. 99, No. 5, 1997, pp. 1439-1441.

 
 
Top