Thigh Fillet Flap for Pelvic Reconstruction in a Traumatic Hind-Quarter Amputation
Bibliographic record
Abstract
Traumatic hind-quarter amputation is an uncommon injury, usually associated with significant mortality due to intraabdominal associated trauma. A case of a 16-year-old male with a traumatic right hemipelvectomy was reported. The peritoneum and intraperitoneal organs were not injured. The right testis was lost and the rectum had a penetrating wound. There was also an associated open tibial fracture. Primary replantation was not considered. Although direct skin closure was possible, reconstruction of the pelvic wall was considered important to prevent postoperative pelvic hernia. A fillet flap was harvested from the amputated limb, including the rectus femoris, vastus lateralis and ALT flap, based on the lateral circumflex and common femoral vessels. The fillet flap was used to reconstruct the pelvic floor, suturing the muscular part to the abdominal muscles, the sacrum, levator ani muscle, and pubic synphysis. The free flap was revascularized end-to-end to the stump of the external iliac vessels. A temporary transverse colostomy was performed. The postoperative course was uneventful, with colostomy reversal on postoperative day 15. The patient is fully continent and is able to walk single-legged.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".