[Reconstruction by means of fillet flaps].

The purpose of this review is to summarise the literature and provide an overview of the topic and use of fillet flaps. Large and complex defects remain a reconstructive challenge balancing the benefits of reconstruction against donor-site morbidity. The spare-part concept involves using parts of amputated, non-salvageable or intact tissue for reconstruction. Fillet flaps are axial pattern flaps and can be harvested as pedicled-, island- or free flaps. Using fillet flaps for reconstruction is a valuable tool to obtain reconstruction in a one-stage procedure while minimising donor-site morbidity.

[Fillet flap used for reconstruction after hemipelvectomy and amputation of a lower extremity].

In this case report, a 67-year-old woman presented with increasing pain in the left side of the thigh and pelvis. A PET scan revealed a large malignant tumour in the left side of the pelvis and proximal left femur, and an ultrasound-guided biopsy diagnosed an undifferentiated pleomorphic sarcoma. Combined orthopaedic and plastic surgery resulted in a left-sided hemipelvectomy and amputation of the left leg. The amputated left leg was used as a free fillet flap for reconstruction of the pelvis. The patient healed without complications, and seven months post-operatively she was able to use a prosthesis.

[Topical negative pressure and skin transplantation for the treatment of pyoderma gangrenosum]. / Topical negative pressure og hudtransplantation i behandlingen af pyoderma gangraenosum.

Pyoderma gangrenosum (PG) is a rare idiopathic, autoimmune and inflammatory disease characterized by the development of ulcerative skin lesions. A 58 year-old woman, diagnosed with biopsy-verified PG was admitted to the Wound Center at Odense University Hospital, with rapid progression of painful, necrotic PG lesions on both crura. The lesions were treated, in collaboration with the dermatologists, with systemic steroids, topical negative pressure treatments and surgical revision in addition to partial skin graft with good results. Following the treatment the patient has been pain free and without recurrence for 11 months.