Microsurgery in complex trauma of pelvic limb in a pediatric patient: case report


  • Rodrigo Banegas-Ruíz Department of Traumatology, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Luis E. Loyo Soriano Department of Pediatric Surgery, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Francisco Fabián Gómez-Mendoza Department of Hand Surgery, Central Military Hospital, CDMX, Mexico
  • Rodrigo A. Mendoza-Aceves Department of Anesthesiology, Angeles del Pedregal Hospital, CDMX. Mexico
  • Rigoberto Román Hernández Department of Peripheral Vascular Surgery, Central Military Hospital, CDMX, Mexico
  • Christian Porras Méndez Department of General Surgery, High Specialty Hospital, Veracruz, Mexico
  • Alan I. Valderrama-Treviño Laboratory of Experimental Immunotherapy and Tissue Engineering, UNAM, CDMX, Mexico
  • Emilio Pérez Ortega Faculty of Medicine, UNAM, CDMX, Mexico
  • Ismael Vejar Alba Department of Maxillofacial Surgery, Central Military Hospital, CDMX, Mexico
  • Rubén Olivares Ulloa Department of Traumatology, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Leonel Dalain Hernández-Arteaga Faculty of Medicine, Autonomous University of Quteretaro, Mexico
  • Erick Salvador Járez-Duarte Department of Radiology and Imaging, Star Medical Hospital, CDMX, Mexico
  • Baltazar Barrera Mera Department of Physiology, UNAM, CDMX, Mexico




Anterolateral thigh flap, Complex limb trauma, Lower limb, Micro vascular surgery, Pediatric trauma, Reconstruction


Complex trauma is defined as the condition secondary to the exchange of kinetic energy of two or more tissues in one limb. This entity is a surgical emergency that can have many sequelae and can even result in limb loss. An 11-year-old female patient presents complex pelvic limb trauma secondary to contuse injury caused by a helicopter’s rotor blades.  Pelvic limb reconstruction was performed with iliac crest bone graft, the fracture was stabilized with an external fixator and the skin defect was covered with an anterolateral microvascular thigh flap (ALT). There was an adequate integration of the bone graft with adequate skin coverage thanks to the ALT thigh flap. The patient presented discreet limb shortening as consequence.  Currently, microsurgery is the only medical option that meets the objectives of limb reconstruction. Microsurgical techniques can be used in pediatric and adult patients. The success of any recovery from complex trauma is vigorous surgical cleaning, avoiding sequential and/or multiple washes.


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How to Cite

Banegas-Ruíz, R., Loyo Soriano, L. E., Gómez-Mendoza, F. F., Mendoza-Aceves, R. A., Hernández, R. R., Méndez, C. P., Valderrama-Treviño, A. I., Ortega, E. P., Alba, I. V., Ulloa, R. O., Hernández-Arteaga, L. D., Járez-Duarte, E. S., & Mera, B. B. (2019). Microsurgery in complex trauma of pelvic limb in a pediatric patient: case report. International Journal of Research in Medical Sciences, 7(10), 3895–3897. https://doi.org/10.18203/2320-6012.ijrms20194143



Case Reports