Fractures of the pelvis associated with uncontrollable hypotension are managed by stabilization of fractures and arteriographic embolization of the bleeding vessels. Embolization of these arteries may result in necrosis of the buttocks. The use of a transverse lumbar artery-based flap can be used for repair of these defects.
HikiT.OkadaY.WakeK.FujiwaraA.KajiY.. Embolization for a bleeding pelvic fracture in a patient with persistent sciatic artery.Emerg Radiol2007; 14: 55–7.
2.
SuzukiT.ShindoM.KataokaY.. Clinical characteristics of pelvic fracture patients with gluteal necrosis resulting from transcatheter arterial embolization.Arch Orthoped Trauma Surg2005; 125: 448–52.
3.
DietzDMSthlfeldKRBansalSKChristophersonWA. Buttock necrosis after uterine artery embolization.Obstetr Gynecol2004; 104: 1059–61.
4.
RawatSSMathurBS. Transverse lumbar flap for sacral bed sores.Plast Reconstr Surg1991; 88: 154–8.
5.
RocheNAVan LanduytK.BlondeelPNMattonG.MonstreySJ. The use of pedicled perforator flaps for reconstruction of lumbosacral defects.Ann Plast Surg2000; 45: 7–14.
