ArticleCureus2025
Use of a Pedicled Anterolateral Thigh Flap as Fasciocutaneous and Chimeric With Vastus Lateralis Muscle for Bilateral Trochanteric Radionecrosis Reconstruction: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Pelvic radiation for gynecological malignancies may induce several acute and late complications. Among those, skin and soft tissue radionecrosis at the trochanteric region represents a rare event, associated with significant morbidity. The therapeutic approach for those deep and large trochanteric defects is challenging, requiring a combination of radical debridement of the necrotic tissue and reconstruction using pedicled or free flaps. Accordingly, we present our experience with the use of a pedicled anterolateral thigh flap as fasciocutaneous and chimeric with the vastus lateralis muscle for the reconstruction of a late bilateral trochanteric skin and soft tissue radionecrosis. The wounds were completely healed without evidence of recurrence at the 24-month postoperative follow-up. We emphasize the importance of using well-vascularized and bulky flaps for successful filling and coverage of large post-radiation trochanteric defects to achieve good functional and aesthetic outcomes and to prevent recurrence.
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