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Deep inferior epigastric vessel-pedicled, muscle-sparing rectus abdominis myocutaneous (RAM) flap for reconstruction of soft tissue defects in pelvic area

  • Original Article • PELVIS - TRAUMA
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Large soft tissue reconstruction in pelvic area is rare but remains challenging. Between August of 2000 and March of 2014, five patients underwent soft tissue reconstruction in pelvic area using deep inferior epigastric vessel-pedicled, muscle-sparing RAM flap. The soft tissue defects located in anterior iliac spine in three cases, lower buttock in one case, contralateral lower buttock and perineal region in one case. The size of the flaps ranged from 13 × 7 cm to 25 × 9 cm. All flaps were harvested in muscle-sparing form. Lateral two-thirds of rectus abdominis muscle and anterior sheath of the rectus abdominis muscle were harvested with the flap in disc or bar shape. All five flaps survived uneventfully. During the follow-up, no ventral hernias occurred in donor sites.

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Acknowledgments

We thank Ross Gibson for his help review and editing of the manuscript.

Conflict of interest

The authors confirm that they have received no financial assistance relevant to this paper and have no conflict of interest regarding this paper.

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Authors and Affiliations

  1. Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou, 450003, People’s Republic of China

    L. Zheng & J. Zheng

  2. Department of Surgery, Kleinert Kutz Hand Care Center, Christine M. Kleinert Institute for Hand and Microsurgery, School of Medicine, University of Louisville, 225 Abraham Flexner Way, Suite 850, Louisville, KY, 40202, USA

    L. Zheng

  3. Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha, 410011, People’s Republic of China

    Z. G. Dong

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  1. L. Zheng
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  2. Z. G. Dong
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  3. J. Zheng
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Correspondence to L. Zheng.

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Zheng, L., Dong, Z.G. & Zheng, J. Deep inferior epigastric vessel-pedicled, muscle-sparing rectus abdominis myocutaneous (RAM) flap for reconstruction of soft tissue defects in pelvic area. Eur J Orthop Surg Traumatol 25, 859–863 (2015). https://doi.org/10.1007/s00590-015-1599-0

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  • DOI: https://doi.org/10.1007/s00590-015-1599-0

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