PMC8343835_01
Preoperative planning and flap design.
JDRS-2021-32-2-531-535-F1.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F1.jpg
F1
Two adequate perforators, one at the caudal edge of the previous incision and another at the middle proximal part of the incision, were traced with a hand-held Doppler device prior to surgery (Figure 1).
Preoperative X-rays showing posterior instrumentation.
JDRS-2021-32-2-531-535-F2.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F2.jpg
F2
Implant removal and complete debridement of the infected tissues was conducted by the neurosurgeon (Figures 2 and 3).
Postoperative X-rays showing after implant removal.
JDRS-2021-32-2-531-535-F3.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F3.jpg
F3
Implant removal and complete debridement of the infected tissues was conducted by the neurosurgeon (Figures 2 and 3).
An intraoperative wound view after debridement and flap elevation.
JDRS-2021-32-2-531-535-F4.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F4.jpg
F4
A free-style, elliptical, 8x12-cm propeller flap was designed and elevated suprafascially (Figures 4 and 5).
A flap view from the rear perforator vessels.
JDRS-2021-32-2-531-535-F5.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F5.jpg
F5
A free-style, elliptical, 8x12-cm propeller flap was designed and elevated suprafascially (Figures 4 and 5).
Deepithelialized flap buried into the wound.
JDRS-2021-32-2-531-535-F6.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F6.jpg
F6
The deepithelialized flap was rotated 120 degrees anti-clockwise and buried into the defect (Figure 6).
A postoperative (Month 6) skin view showing a well-healed and contoured posterior trunk.
JDRS-2021-32-2-531-535-F7.jpg
PMC8343835_01_JDRS-2021-32-2-531-535-F7.jpg
F7
There were no complications, and the patient showed a well-healed and contoured posterior trunk at six months (Figure 7).