title: Traumatic hemipelvectomy with free gluteus maximus fillet flap covers: a case report.
abstract: Traumatic hemipelvectomy is an uncommon and life threatening injury. We report a case of a 16-year-old boy involved in a traffic accident who presented with an almost circumferential pelvic wound with wide diastasis of the right sacroiliac joint and symphysis pubis. The injury was associated with complete avulsion of external and internal iliac vessels as well as the femoral and sciatic nerves. He also had ipsilateral open comminuted fractures of the femur and tibia. Emergency debridement and completion of amputation with preservation of the posterior gluteal flap and primary anastomosis of the inferior gluteal vessels to the internal iliac artery stump were performed. A free fillet flap was used to close the massive exposed area.
  
  
  BACKGROUND
  traumatic hemipelvectomy, amputation, and free gluteus maximus fillet flap.
authors.affiliation: Department of Orthopedics, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Wi
authors.initials: W
authors.lastname: Faisham
authors.affiliation: Plastic and Reconstructive Unit, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Ws
authors.initials: W
authors.lastname: Azman
authors.affiliation: Department of Orthopedics, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Tms
authors.initials: T
authors.lastname: Muzaffar
authors.affiliation: Department of Orthopedics, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Daj
authors.initials: D
authors.lastname: Muslim
authors.affiliation: Department of Surgery, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Ah
authors.initials: A
authors.lastname: Azhar
authors.affiliation: Department of Surgery, Universiti Sains Malaysia, Kota Bahru, Malaysia.
authors.forename: Mm
authors.initials: M
authors.lastname: Yahya