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Reconstruction of large sacral defects following tumour resection: A report of two cases.


Citation

Cheong, You Wei and Sulaiman, W.A. and Halim, A.S. (2008) Reconstruction of large sacral defects following tumour resection: A report of two cases. Journal of Orthopaedic Surgery , 16 (3). pp. 351-354. ISSN 1022-5536

Abstract

Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defects were reconstructed following tumour resection. Both defects were reconstructed with inferiorly based, transpelvic, pedicled vertical rectus abdominis myocutaneous flaps. This is a robust flap and carries a well-vascularised muscle bulk and skin paddle. The donor site is distant from the lesion site and is thus unaffected by both the resection and radiotherapy. This is a useful flap for reconstructing large sacral defects.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Hong Kong Academy of Medicine Press
Keywords: Chordoma; Giant cell tumors; Sacrococcygeal region; Surgical flaps.
Depositing User: Nur Farahin Ramli
Date Deposited: 09 Sep 2013 04:23
Last Modified: 23 Nov 2015 03:35
URI: http://psasir.upm.edu.my/id/eprint/24688
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