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

Abstract

HighlightsHemipelvectomy 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.

A Cutaneous Transposition Inversion Flap to Treat Symptomatic Subcutaneous Trochanteric or Soft Tissue Defects After Hip Arthroplasty: A Technical Note

“…Similar flaps were described at other sites by other authors but without extending mobilization as far. [13][14][15] Although flap inversion in the present case was simple and effective, our technique does have limitations. First, potential ineffective healing of the epifascial cavity carries the risk of secondary hematoma or seroma formation, which increases the risk of surgical site infection.…”

Multiple Grade IV Pressure Injuries in a Young Boy: ALook Into the Pathognomic and Management of Iliac Crest Pressure Injury

“…This flap was sturdy and robust to cover the defect of the ilium and the donor defect was closed primarily. A similar defect, where an implant over the iliac crest was exposed, was covered by a Limberg flap [10]. Adequate pressure relief from the operated site and frequent side changes are important post-operative guidelines to prevent the recurrence of sores especially in a patient with reduced power and sensations [11].…”

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

“…The RF was firstly described by Limberg and has been popularized for wound closure [13][14][15][16]. This technique proved to be effective for coverage of torso defects, such as pilonidal sinus disease and facial wounds [13][14][15][16]. However, studies focusing on the use of RF for reconstruction of limb defects are sparse.…”