Medial adductor myocutaneous flap for coverage following hip disarticulation for chondrosarcoma

Carlo R. Belen

Publication Date

2014

Document Type

Research

Abstract

There are different techniques available for wound closure after hip disarticulation and hemipelvectomy. The rate of amputation for the treatment of bone and soft tissue sarcomas has declined with the used of newer multimodality approaches, while maintaining excellent local control. Many patients can now be safety treated with limb sparing surgery, but when local tumor control is not possible with limb salvage surgery, amputation may be necessary. The most commonly used methods of coverage following hip disarticulations and hemipelvectomy use posteriorly-based musculocutaneous flaps from the gluteal region, and if the posterior flap is unavailable, the use of an anteriorly-based musculocutaneous flap is another option. This report, on the other hand, demonstrates how a medial (adductor) myocutaneous flap was used for closure of a modified hip disarticulation.

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