Antebrachial microvascular flap for reconstruction of the pelvic limb: case report

Rodrigo Banegas-Ruiz; Alan I. Valderrama-Treviño; J. A. Rivas-Montero; F. F. Gómez-Mendoza; E. García-Martínez; C. R. Baca Domínguez; G. Campos-Angulo; L. F. Alejo-Fuentes; L. R. García-Valadez; C. N. Jiménez-Nateras; V. M. Ramos-Lojero; J. A. Espejel-Blancas; C. A. Méndez Celis; Baltazar Barrera-Mera

doi:10.18203/2320-6012.ijrms20191495

Authors

Rodrigo Banegas-Ruiz Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
Alan I. Valderrama-Treviño Department of Experimental Immunotherapy and Tissue Engineering, Faculty of Medicine, UNAM, CDMX, Mexico
J. A. Rivas-Montero Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
F. F. Gómez-Mendoza Department of Hand Surgery, Central Military Hospital, CDMX, Mexico
E. García-Martínez Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
C. R. Baca Domínguez Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
G. Campos-Angulo Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
L. F. Alejo-Fuentes Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
L. R. García-Valadez Department of Orthopedics, Central Military Hospital, CDMX, Mexico
C. N. Jiménez-Nateras Department of Medicine, Medical School, Westhill University, CDMX. Mexico
V. M. Ramos-Lojero Department of Epidemiology, General Directorate of Epidemiology, CDMX, Mexico
J. A. Espejel-Blancas Department of Angiology and Vascular Surgery Service, Hospital Angeles Metropolitano, CDMX, Mexico
C. A. Méndez Celis Department of Experimental Immunotherapy and Tissue Engineering, Faculty of Medicine, UNAM, CDMX, Mexico
Baltazar Barrera-Mera Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20191495

Keywords:

Donor zone, High energy trauma, Radial artery, Receiving zone, Radial microvascular flap

Abstract

Complex defects in the soft tissues of the foot and ankle caused by high-energy trauma, infection, cancer or diabetes require rapid and effective treatment which decreases the risk of infection, bone healing time, hospital stay and number total of surgical approaches. Authors report a clinical case of a 23-year-old female patient who suffers high-energy trauma due to a motorcycle accident which causes exposure of the distal third of the tibia, loss of the tibial joint face, and loss of tissue throughout the region of the malleolus medial of the right pelvic extremity. Tissue transfer to the pelvic limb is performed using left contralateral radial antebrachial free flap as donor area. This case report aims to emphasize the key aspects of the high energy trauma approach by using microvascular flaps, as well as the satisfactory evolution of the patient that directly affects the prognosis for life and function.

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