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J Reconstr Microsurg 1988; 4(3): 169-178
DOI: 10.1055/s-2007-1006916
ORIGINAL ARTICLE

© 1988 by Thieme Medical Publishers, Inc.

Free Flap Reconstruction of the Lower Back and Posterior Pelvis: Indications, Principles, and Techniques

Gerald D. Harris, Victor L. Lewis, Daniel J. Nagle, Ronald J. Edelson, Paul S. Kim
  • Divisions of Plastic Surgery, Northwestern Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, and Brandywine Hospital, Coatesville, Pennsylvania
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Publication History

Accepted for publication 1987

Publication Date:
08 March 2008 (online)

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ABSTRACT

Reconstructive microsurgery can be successfully applied to major defects of the lower back and posterior pelvis. When present, the superior and inferior gluteal vessels can be excellent free flap recipient vessels. However, if they are absent as a result of trauma or tumor ablation, a wrist carrier can be used to transfer large blocks of tissue in a staged procedure. Five patients are presented with challenging defects for which these techniques were used.