Banking a fillet flap to aid in reconstruction following a hindquarter amputation |
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Authors: | Stephanie S. Young Kazi Rahman Paul Hainsworth Shona Murray Maniram Ragbir |
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Affiliation: | 1.North of England Bone and Soft Tissue Tumour Service,Royal Victoria Infirmary,Newcastle upon Tyne,UK |
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Abstract: | A hindquarter amputation and hemipelvectomy for recurrent malignancy presents a reconstructive challenge to the plastic surgeon. Tumour resection leaves a considerable defect, with exposure of bone, neurovascular structures, pelvic and abdominal organs. A free lower leg fillet flap is a recognised method of providing soft tissue coverage, but ischaemic time is often lengthy as described in the literature. We present a unique method of providing soft tissue coverage using a free lower leg fillet flap, and minimising ischaemic time by banking the flap on the ulnar artery during the hindquarter amputation and tumour resection.Level of Evidence: Level V, therapeutic study. |
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