Blood supply of hemipelvectomy flaps: the anterior flap hemipelvectomy.
In posterior flap hemipelvectomy, preservation of the gluteus maximus with the flap guarantees its viability regardless of the level of ligation of the iliac vessels. In anterior flap hemipelvectomy with the quadriceps femoris attached to the flap, the dominant blood supply is through the lateral femoral circumflex branches of the profunda vessels, which is sufficient to maintain the flap.
Kulaylat
M N
MN
State University of New York at Buffalo, Veterans Affairs Medical Center, and Kaleida Health, Millard Fillmore Hospital, Buffalo, NY 14209, USA.
Froix
A
A
Karakousis
C P
CP
D002081:Buttocks / Q000473:pathology*; D002908:Chronic Disease; D006428:Hemipelvectomy / Q000379:methods*; D006621:Hip Joint / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis; D010019:Osteomyelitis / Q000150:complications*; D010264:Paraplegia / Q000150:complications* / Q000209:etiology; D013524:Surgical Flaps / Q000098:blood supply*; D014456:Ulcer / Q000209:etiology / Q000601:surgery