Hemipelvectomy utilizing an anterior myocutaneous flap: case report and surgical technique description

Abstract

Hemipelvectomy utilizing an anterior myocutaneous flap is indicated for sarcomas of the buttock and proximal portion of the posterior thigh. A large operative defect created posteriorly by amputation of the lower extremity, hemipelvis, and buttock is covered by a myocutaneous flap of quadriceps femoris muscle and overlying skin and subcutaneous tissue. The result of the hemipelvectomy utilizing an anterior myocutaneous flap is excellent, although this surgery can cause sensation of pain and phantom limb in a few patients. The considerations about the rehabilitation and risk of phantom limb pain are similar the others types of hemipelvectomy. Due to the fast recuperation of the tissue in this type of flap, the adaptation of a prosthesis, when applied can be early. In this work, we present a case of hemipelvectomy utilizing an anterior myocutaneous flap with the surgical technique description.