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

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...

Full description

Saved in:
Bibliographic Details
Published inInternational 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
LanguageEnglish
Published Netherlands Elsevier 01.01.2017
Subjects
Fasciocutaneous flap
Hemipelvectomy
Ewing sarcoma
Exposed implant
Wound healing
Hip implant
Online AccessGet full text

Cover

Abstract 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.
AbstractList INTRODUCTIONHemipelvectomy 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. CASE REPORTIn 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. DISCUSSIONFasciocutaneous 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.
• Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure. • 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. • The literature shows that the gold standard in the coverage of exposed prosthetic devices and in the treatment of infected non healing wounds is represented by muscular or myocutaneous flap. • 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.
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.
Author Di Costanzo, Pasquale
Faenza, Mario
Ferraro, Giuseppe A
Pieretti, Gorizio
Lamberti, Rossella
Di Martino, Martina
Napoletano, Antonio
Nicoletti, Giovanni F
Casale, Fiorina
AuthorAffiliation a Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, 1-80138 Naples, Italy
c Traslational Medicine of Development and Active Aging, Università degli Studi di Salerno, Via Giovanni Paolo II, 132-84084, Fisciano (Salerno), Italy
b Department of Women, Child and General and Specialist Surgery, Università degli Studi della Campania “Luigi Vanvitelli”, Paediatric Oncology Unit, Vico Luigi De Crecchio, 2-80138 Naples, Italy
AuthorAffiliation_xml – name: c Traslational Medicine of Development and Active Aging, Università degli Studi di Salerno, Via Giovanni Paolo II, 132-84084, Fisciano (Salerno), Italy
– name: a Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, 1-80138 Naples, Italy
– name: b Department of Women, Child and General and Specialist Surgery, Università degli Studi della Campania “Luigi Vanvitelli”, Paediatric Oncology Unit, Vico Luigi De Crecchio, 2-80138 Naples, Italy
Author_xml – sequence: 1
  givenname: Mario
  surname: Faenza
  fullname: Faenza, Mario
  email: dottmariofaenza@gmail.com
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy; Traslational Medicine of Development and Active Aging, Università degli Studi di Salerno, Via Giovanni Paolo II, 132-84084, Fisciano (Salerno), Italy. Electronic address: dottmariofaenza@gmail.com
– sequence: 2
  givenname: Gorizio
  surname: Pieretti
  fullname: Pieretti, Gorizio
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
– sequence: 3
  givenname: Rossella
  surname: Lamberti
  fullname: Lamberti, Rossella
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
– sequence: 4
  givenname: Pasquale
  surname: Di Costanzo
  fullname: Di Costanzo, Pasquale
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
– sequence: 5
  givenname: Antonio
  surname: Napoletano
  fullname: Napoletano, Antonio
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
– sequence: 6
  givenname: Martina
  surname: Di Martino
  fullname: Di Martino, Martina
  organization: Department of Women, Child and General and Specialist Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Paediatric Oncology Unit, Vico Luigi De Crecchio, 2-80138 Naples, Italy
– sequence: 7
  givenname: Fiorina
  surname: Casale
  fullname: Casale, Fiorina
  organization: Department of Women, Child and General and Specialist Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Paediatric Oncology Unit, Vico Luigi De Crecchio, 2-80138 Naples, Italy
– sequence: 8
  givenname: Giuseppe A
  surname: Ferraro
  fullname: Ferraro, Giuseppe A
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
– sequence: 9
  givenname: Giovanni F
  surname: Nicoletti
  fullname: Nicoletti, Giovanni F
  organization: Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29546030$$D View this record in MEDLINE/PubMed
BookMark eNpVkU9r3DAQxUVJaNIkn6BQdOxl3ZH8R_alUEKbFhZ6Sc5iLI92tdiSK3nTBPrhq82mIdVFGvTem2F-79iJD54Yey-gECCaT7vC7ZKJhQShCiEKqMo37FxKASvZCHny6n3GrlLaQT6lbBsp37Iz2dVVAyWcsz9rN_UUN9xiMi6Y_YKewj7xJaJPc0huccFzO-LMbYh82RI34Z4ibogHy9FzesgyGvjWzdxN84h-4c5z5DMujnKB1pJZsqJ_5PTb-Q1PGE2Y8JKdWhwTXT3fF-zu29fb6--r9c-bH9df1itTQb2sDChqUGAHVBur-l6BktDKtrND1fTYdoOqhx76oW16ktDUsqrAtNAADENZlRfs8zF33vcTDSYPFXHUc3QTxkcd0On_f7zb6k2417WSeWcyB3x8Dojh157SoieXDI3jcVk6U6i6qpXq0Ks8Sk0MKUWyL20E6AM6vdNP6A4mpYXQGV12fXg94YvnH6jyL8uZmxM
CitedBy_id crossref_primary_10_26416_OnHe_46_1_2019_2309
crossref_primary_10_1016_j_ijscr_2019_02_043
crossref_primary_10_1097_BTO_0000000000000591
crossref_primary_10_1186_s12891_023_06643_z
crossref_primary_10_1016_j_ijscr_2024_109236
Cites_doi 10.1097/SAP.0b013e31819adf6f
10.1245/s10434-007-9672-5
10.1080/23320885.2016.1209079
10.1016/j.ijsu.2016.08.014
10.1302/0301-620X.92B3.22115
10.7150/ijms.6.241
10.1097/01.prs.0000222551.10793.51
10.1002/micr.20932
10.1097/01.PRS.0000133178.86659.8E
10.1016/j.bjps.2017.02.027
10.1097/00006534-199107000-00016
ContentType Journal Article
Copyright 2017 The Authors 2017
Copyright_xml – notice: 2017 The Authors 2017
DBID NPM
AAYXX
CITATION
7X8
5PM
DOI 10.1016/j.ijscr.2017.11.043
DatabaseName PubMed
CrossRef
MEDLINE - Academic
PubMed Central (Full Participant titles)
DatabaseTitle PubMed
CrossRef
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic

PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
EISSN 2210-2612
EndPage 519
ExternalDocumentID 10_1016_j_ijscr_2017_11_043
29546030
Genre Journal Article
GroupedDBID ---
--K
.1-
.FO
0R~
0SF
1P~
457
53G
5VS
AACTN
AAEDT
AAEDW
AAFTH
AAIKJ
AALRI
AAXUO
ABMAC
ACGFS
ADBBV
ADEZE
ADVLN
AEVXI
AEXQZ
AFJKZ
AFRHN
AFTJW
AGHFR
AITUG
AJUYK
AKRWK
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
AOIJS
BAWUL
DIK
E3Z
EBS
EJD
FDB
GROUPED_DOAJ
HYE
HZ~
IPNFZ
IXB
J1W
KQ8
M41
M48
M~E
NCXOZ
NPM
O-L
O9-
OK-
OK1
OW-
P2P
RIG
ROL
RPM
SES
SSZ
XH2
Z5R
AAYXX
CITATION
7X8
5PM
ID FETCH-LOGICAL-c405t-c07e6a1a90e5cf7bb707208289fd46ba89d75db0bd86be20652440c80600dd343
IEDL.DBID RPM
ISSN 2210-2612
IngestDate Tue Sep 17 21:25:49 EDT 2024
Sun Sep 29 07:20:15 EDT 2024
Thu Sep 26 17:59:13 EDT 2024
Sat Sep 28 08:21:04 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Keywords Fasciocutaneous flap
Hemipelvectomy
Ewing sarcoma
Exposed implant
Wound healing
Hip implant
Language English
License This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c405t-c07e6a1a90e5cf7bb707208289fd46ba89d75db0bd86be20652440c80600dd343
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5723282/
PMID 29546030
PQID 2014948274
PQPubID 23479
PageCount 4
ParticipantIDs pubmedcentral_primary_oai_pubmedcentral_nih_gov_5723282
proquest_miscellaneous_2014948274
crossref_primary_10_1016_j_ijscr_2017_11_043
pubmed_primary_29546030
PublicationCentury 2000
PublicationDate 2017-01-01
PublicationDateYYYYMMDD 2017-01-01
PublicationDate_xml – month: 01
  year: 2017
  text: 2017-01-01
  day: 01
PublicationDecade 2010
PublicationPlace Netherlands
PublicationPlace_xml – name: Netherlands
PublicationTitle International journal of surgery case reports
PublicationTitleAlternate Int J Surg Case Rep
PublicationYear 2017
Publisher Elsevier
Publisher_xml – name: Elsevier
References Jones (10.1016/j.ijscr.2017.11.043_bib0020) 1991; 88
Rubino (10.1016/j.ijscr.2017.11.043_bib0050) 2017; 70
Argenta (10.1016/j.ijscr.2017.11.043_bib0010) 2006; 117
Rubino (10.1016/j.ijscr.2017.11.043_bib0015) 2016; 3
Agha (10.1016/j.ijscr.2017.11.043_bib0055) 2016; 34
Ichioka (10.1016/j.ijscr.2017.11.043_bib0040) 2004; 114
Lin (10.1016/j.ijscr.2017.11.043_bib0045) 2010; 64
Senchenkov (10.1016/j.ijscr.2017.11.043_bib0005) 2008; 15
Tan (10.1016/j.ijscr.2017.11.043_bib0025) 2010; 92-B
Yoshida (10.1016/j.ijscr.2017.11.043_bib0035) 2011; 31
Kelm (10.1016/j.ijscr.2017.11.043_bib0030) 2009; 6
References_xml – volume: 64
  start-page: 59
  issue: January (1)
  year: 2010
  ident: 10.1016/j.ijscr.2017.11.043_bib0045
  article-title: Treatment of ischial pressure soares with double adipofascial turnover flaps
  publication-title: Ann. Plast. Surg.
  doi: 10.1097/SAP.0b013e31819adf6f
  contributor:
    fullname: Lin
– volume: 15
  start-page: 355
  issue: 1
  year: 2008
  ident: 10.1016/j.ijscr.2017.11.043_bib0005
  article-title: Predictors of complications and outcomes of external hemipelvectomy wounds: account of 160 consecutive cases
  publication-title: Ann. Surg. Onc.
  doi: 10.1245/s10434-007-9672-5
  contributor:
    fullname: Senchenkov
– volume: 3
  start-page: 59
  issue: July (1)
  year: 2016
  ident: 10.1016/j.ijscr.2017.11.043_bib0015
  article-title: VRAM-pedicled island flap for the coverage of an exposed prosthetic vascular graft in the suprapubic area
  publication-title: Case Rep. Plast. Surg. Hand Surg.
  doi: 10.1080/23320885.2016.1209079
  contributor:
    fullname: Rubino
– volume: 34
  start-page: 180
  issue: October
  year: 2016
  ident: 10.1016/j.ijscr.2017.11.043_bib0055
  article-title: The SCARE statement: consensus-based surgical case report guidelines
  publication-title: Int. J. Surg.
  doi: 10.1016/j.ijsu.2016.08.014
  contributor:
    fullname: Agha
– volume: 92-B
  start-page: 401
  year: 2010
  ident: 10.1016/j.ijscr.2017.11.043_bib0025
  article-title: The use of muscle flaps in the salvage of infected exposed implants for internal fixation
  publication-title: J. Bone Joint Surg.
  doi: 10.1302/0301-620X.92B3.22115
  contributor:
    fullname: Tan
– volume: 6
  start-page: 241
  issue: September (5)
  year: 2009
  ident: 10.1016/j.ijscr.2017.11.043_bib0030
  article-title: Vacuum-assisted closure in the treatment of early hip joint infections
  publication-title: Int. J. Med. Sci.
  doi: 10.7150/ijms.6.241
  contributor:
    fullname: Kelm
– volume: 117
  start-page: 127s
  issue: June (Suppl. 7)
  year: 2006
  ident: 10.1016/j.ijscr.2017.11.043_bib0010
  article-title: Vacuum-Assisted Closure: state of clinic art
  publication-title: Plast. Reconstr. Surg.
  doi: 10.1097/01.prs.0000222551.10793.51
  contributor:
    fullname: Argenta
– volume: 31
  start-page: 655
  issue: November (8)
  year: 2011
  ident: 10.1016/j.ijscr.2017.11.043_bib0035
  article-title: Treatment of pelvic defect and infection with endoprosthesis exposure by topical negative pressure and irrigation with myocutaneous flap
  publication-title: Microsurgery
  doi: 10.1002/micr.20932
  contributor:
    fullname: Yoshida
– volume: 114
  start-page: 901
  issue: September (4)
  year: 2004
  ident: 10.1016/j.ijscr.2017.11.043_bib0040
  article-title: Triple Coverage of ischial ulcers with adipofascial turnover and fasciocutaneous flaps
  publication-title: Plast. Reconstr. Surg.
  doi: 10.1097/01.PRS.0000133178.86659.8E
  contributor:
    fullname: Ichioka
– volume: 70
  start-page: 976
  issue: July (7)
  year: 2017
  ident: 10.1016/j.ijscr.2017.11.043_bib0050
  article-title: A new keystone flap Plus design: case series and analysis of follow-up
  publication-title: J. Plast Reconstr. Aesthet. Surg.
  doi: 10.1016/j.bjps.2017.02.027
  contributor:
    fullname: Rubino
– volume: 88
  start-page: 95
  issue: 1
  year: 1991
  ident: 10.1016/j.ijscr.2017.11.043_bib0020
  article-title: Treatment of chronic infected hip arthroplasty wounds by radical debridement and obliteration with pedicled and free muscle flaps
  publication-title: Plast. Reconstr. Surg.
  doi: 10.1097/00006534-199107000-00016
  contributor:
    fullname: Jones
SSID ssj0000328622
Score 2.0781035
Snippet Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure with many possible...
INTRODUCTIONHemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure with...
• Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure. • The treatment...
SourceID pubmedcentral
proquest
crossref
pubmed
SourceType Open Access Repository
Aggregation Database
Index Database
StartPage 516
SummonAdditionalLinks – databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1LS8NAEF5qvXgRxVd9MYJHU9LsZjc9iIhYiqgnC72F3ezGprRp7QNb8Mc7m0e16sVDDiFDCDOzM99kP74l5NJVnmJ4OUIJgQMKDqxKYzFsaNVoxpxSaTKC7DNvd9hD1-9WSHkqauHA6Z-jnT1PqjMZ1Bdvyxtc8NdfXK2kj2vM8rRE3UpyMrpBNj1GmU35pwLvZ6WZeojg7c6Ch6OOY-WzSiWiv9-z3q1-QdCfTMpvram1Q7YLTAm3eRLskopJ98jHY2LP-niFWGKXG0VzRIEGx3yY5XLmOVcL4oEcAwJXQCAIkeVzYoGBUQwyBbNAM6Ohl4whGY4HGARIUpBQiLGCzMggaKGWYN6xCcIU181oKPdJp3X_ctd2iqMWnAgR28yJXGG4bMima_woFkoJV3hW3a4Za8aVDJpa-Fq5SgdcGQ9xC8ICNwpcxEtaU0YPSDUdpeaIgHK5plQbxY1hislAxoJpHTXirGHyGrkqXRqOc0WNsKSa9cMsAqGNAM4mIUagRi5Kt4eY-XY7I3eXNbLaNjhW18hhHobVC-3uJcf6VSNiLUArA6uqvf4kTXqZurYvEGQG3vH_PvOEbNm7_OfMKanOJnNzhnBlps6zFPwEPhzrGw
  priority: 102
  providerName: Scholars Portal
Title Limberg fasciocutaneous transposition flap for the coverage of an exposed hip implant in a patient affected by ewing sarcoma
URI https://www.ncbi.nlm.nih.gov/pubmed/29546030
https://search.proquest.com/docview/2014948274
https://pubmed.ncbi.nlm.nih.gov/PMC5723282
Volume 41
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Nb9swDCWSnnopVmxr0y9wwI5L4tiy5ByLYkEwLMMOK9CbIUpy6yJxjC1FW6A_vpQcB0l728En0YZBUuKj9fwE8DWimARffUVKcYPCDStZXgxHlkbjQiaJdoEg-0tOr8WPm_SmA2n7L0wg7RsqB9V8MajKu8CtrBdm2PLEhr9nV6liHJDFwy50VZJstehh-eUhGcetwlDgcpX3PAc9j0sNvGSn8Kfn-A0uGdjP2wXpHcp8S5bcqj6TD3Cwho142bzeIXRc9RFefpb-OI9bLDQXsqV5YKDnuJPHVaNY3tCxsJjrGhmbImM9NJ6yyWsILgvUFbonNnMW78oay0U9Zz9jWaHGtd4q6sD3YAt6RvfIdQ7_8dRYLvQnuJ58_3M17a9PU-gbBmWrvomUk3qkx5FLTaGIVKRiL2A3LqyQpLOxVamliGwmycUMTbjyRyaLGBJZm4jkM-xVy8odA1IkbZJYR9I5QUJnulDCWjMqQk2UPfjWujSvG9GMvGWT3echGLkPBrcfOQejB19at-ec3H7HonGXN_LyNdw59-CoCcPmgW38eqB2ArQx8MLZuyOcT0FAe50_J_995yns-_dvPsWcwd7q74M7Z3CyogvozkR2EVLyFevb6Yk
link.rule.ids 230,315,733,786,790,891,24346,27957,27958,53827,53829
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwEB5RemgvfagPts-pxLGbzeZhZ48IFW3pgnoAxC3y2A4EdpOoZNWH-uMZOxu00BM95GQnSvJ5PN_EXz4DbIcUUcLHUJKUXKBwwUqGJ8OxofGkEHGsrBfIHorpcbJ_mp5uQNr_C-NF-5rKoJovgqo899rKZqFHvU5s9P1gN5XMA7Jo9AAecrxGcq1I9xMwN4oo6j2GvJqrvOAodEouGTjTzsTtn-OWuITXP6-npH945l255Fr-2XsKJ_2dd7KTy2DZUqD_3DF1vPejPYMnK0aKO13zc9iw1Qv4OyvdTiFnWCjOkbVeMoe09fIK284MvVN6YTFXDTLtRaaRqJ0alKcnrAtUFdpf3M0aPC8bLBfNnCHEskKFKytXVF5Kwj3oN9qfnELxiqOuXqiXcLz35Wh3Olxt1DDUzPfaoQ6lFWqsJqFNdSGJZCgj5403KUwiSGUTI1NDIZlMkI2Y9TCpCHUWMtsyJk7iV7BZ1ZXdAqRQmDg2loS1CSUqU4VMjNHjwqdbMYDPPVZ50_lx5L1Q7SL3KOcOZa5sckZ5AJ96PHOOG7cY0r0u18k543BRPoDXHb43F-wHxgDkLeRvOjhP7tstjKf35l7h9-a_z_wIj6ZHB7N89vXw21t47J6l--LzDjbbH0v7njlQSx_8iL8G_f0Ksw
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Nb9NAEB1BkRCXAuIrfA4SR-I4trNrH1EhKlCqHqhUcbF29oO6TWyLOoJW_Hhm13GVllsPPnls2X47O2-8T28B3sWUUMbHWJKU3KBww0qGJ8OpoWnhRJoqGwSy-2L3MPtyNDva2OoriPY1VVG9WEZ1dRy0le1STwad2OTg285MMg_Ik0lr3OQ23OGcTYqNRj1MwhwgkmTwGQqKruqEM9GruWTkjTszv4eOX-YSQQO9WZb-45rXJZMbNWh-H34MT99LT06jVUeRvrhm7Hij13sA22tmih_6kIdwy9aP4O9e5XcM-YlOca1s9Iq5pG1WZ9j1pui94gvdQrXI9BeZTqL2qlCeprBxqGq0fzjMGjyuWqyW7YKhxKpGhWtLV1RBUsIRdI72N5dSPOPsa5bqMRzOP33f2R2vN2wYa-Z93VjH0go1VUVsZ9pJIhnLxHvkFc5kglReGDkzFJPJBdmE2Q-Ti1jnMbMuY9IsfQJbdVPbZ4AUC5OmxpKwNqNM5crJzBg9daHsihG8H_Aq296XoxwEaydlQLr0SHOHUzLSI3g7YFpy_vhFkf5z-SDvkMPN-Qie9hhf3nAYHCOQV9C_DPDe3FfPMKbBo3uN4fMbX_kG7h58nJd7n_e_voB7_lX6Hz8vYav7tbKvmAp19DoM-n88qQ0z
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Limberg+fasciocutaneous+transposition+flap+for+the+coverage+of+an+exposed+hip+implant+in+a+patient+affected+by+ewing+sarcoma&rft.jtitle=International+journal+of+surgery+case+reports&rft.au=Faenza%2C+Mario&rft.au=Pieretti%2C+Gorizio&rft.au=Lamberti%2C+Rossella&rft.au=Di+Costanzo%2C+Pasquale&rft.date=2017-01-01&rft.issn=2210-2612&rft.eissn=2210-2612&rft.volume=41&rft.spage=516&rft.epage=519&rft_id=info:doi/10.1016%2Fj.ijscr.2017.11.043&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_j_ijscr_2017_11_043
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2210-2612&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2210-2612&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2210-2612&client=summon