Iliac crest skin defect reconstruction with local flap : an unusual technique

الملخص

Background : Non‑traumatic loss of skin and fascia is a challenging situation especially around a mobile joint like the hip, the exposure of the bones and joints pose a risk, especially when confronted with the impossibility of targeted wound healing due to the large surface area that is lost. Case report : We present the clinical course of a 65 years old woman, admitted for necrotizing fasciitis of the sacro‑iliac area. She irst underwent an extensive fasciotomy and drainage of sacroiliac abscess; she presented with a signi icant loss of skin, managed by a local lap plasty. Discussion: Skin graft is not recommended because it can lead to retractions that can lead to functional impairment and suboptimal aesthetic results. The possible alternative remains reconstruction by a fasciocutaneous lap. A sub umbilical reconstruction lap which is an atypical procedure that was performed there by achieving a complete coverage of the affected area with satisfactory outcome. Conclusion : In well‑selected cases, the appropriate use of such a lap is the preferable procedure in order to reduce length of recovery and patient morbidity