Limberg fasciocutaneous transposition flap for the coverage of an exposed hip implant in a patient affected by ewing sarcoma

• Published in: International journal of surgery case reports Vol. 41; pp. 516 - 519
• Main Authors: Faenza, Mario, Pieretti, Gorizio, Lamberti, Rossella, Di Costanzo, Pasquale, Napoletano, Antonio, Di Martino, Martina, Casale, Fiorina, Ferraro, Giuseppe A, Nicoletti, Giovanni F
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier 01.01.2017
• Subjects: Fasciocutaneous flap; Hemipelvectomy; Ewing sarcoma; Exposed implant; Wound healing; Hip implant
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2017.11.043

Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure with many possible complications such as wound breakdown, seroma, hematoma and infection.The treatment of an exposed hip implant in these cluster of patient is extremely challenging and the literature shows how negative pressure wound therapy and myocutaneous, both pedicled and free, flaps are workhorses in these situations. In this paper we report a successful coverage of exposed prosthetic hip implant with a local fasciocutaneous flap in a patient in which any other kind of reconstruction was not feasible. Fasciocutaneous flaps can be considered as an easily performed and minimally invasive surgical procedure, particularly reliable even in patients in poor general conditions, with preservation of future flap options.