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Submitted: 30 January 2014 Modified: 26 June 2014
HERDIN Record #: R04A-DLSHSI-14013009480151

Medial Adductor Myocutaneous Flap for coverage following Hip Disarticulation for Chondrosarcoma

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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 use of newer multimodality
approaches, while maintaining excellent local control (1,9,17). Many patients can now be safely treated with limb
sparing surgery (2), but when local tumor control is not possible with limb salvage surgery, amputation may be
necessary (1). The most commonly used methods of coverage following hip disarticulations and hemipelvectomy
use posteriorly-based musculocutaneous flaps from the gluteal region (1,3,6,11,21), and if the posterior flap is
unavailable, the use of an anteriorly-based musculocutaneous flap is another option (1,4,10,14,18). This report, on
the other hand, demonstrates how a Medial (Adductor) Myocutanoeus Flap was used for closure of a Modified
Hip Disarticulation.

LocationLocation CodeAvailable FormatAvailability
3/F Room 6301 De La Salle Angelo King Medical Research Center Abstract Print Format

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