A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock: a new indication for a TRAM flap.
A rectus abdominis myocutaneous flap has been used to repair the abdominal wall, chest wall, sternum, breast, and groin. We describe a patient in whom a large deformity in the buttock caused by a road crash was repaired with a transverse rectus abdominis myocutaneous (TRAM) flap. Distally-based TRAM flaps provide a good and reliable way of reconstructing the buttock. Its advantages are a long arc of rotation and well-vascularised bulky tissue that serve as a partition and promote quick healing of the defect. However, the flap is not the first choice for traumatic and infected wounds where fatty tissue is not desired.
Gürlek
Ali
A
Department of Plastic and Reconstructive Surgery, Medical Faculty, Inönü University, Malatya, Turkey. agurlek@hotmail.com
Demir
Canser Y
CY
Askar
Ibrahim
I
Aydoğan
Hakan
H
Alaybeyoglu
Nezih
N
Coban
Y Kenan
YK
D000328:Adult; D002081:Buttocks / Q000293:injuries*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D019651:Plastic Surgery Procedures / Q000379:methods*; D017568:Rectus Abdominis / Q000637:transplantation*; D018570:Risk Assessment; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology