Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 9 , Pages 1060-1066, September 2007

A new technique of transferring island pedicled anterolateral thigh and vastus lateralis myocutaneous flaps for reconstruction of recurrent ischial pressure sores

  • Jiunn-Tat Lee

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwain
    • Corresponding Author InformationCorresponding author. Address: Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, 707, Section 3, Chung-Yang Road, Hualien 970, Taiwan. Tel./fax: +886 38222641.
  • ,
  • Li-Fu Cheng

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwain
  • ,
  • Chih-Ming Lin

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwain
  • ,
  • Chien-Hsing Wang

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwain
  • ,
  • Chieh-Chi Huang

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
  • ,
  • Sou-Hsin Chien

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

Received 10 May 2006; accepted 26 March 2007. published online 11 May 2007.

Summary 

We describe island pedicled anterolateral thigh and vastus lateralis myocutaneous flaps for reconstruction of the difficult, recurrent ischial pressure sore. Rather than transfer through a subcutaneous tunnel, the flap is transferred directly through the upper thigh to the ischial defect. A total of 15 patients with 16 recurrent ischial pressure sores were treated between May 2003 and April 2005. Eleven sores were treated with pedicled island anterolateral thigh flaps and five sores with vastus lateralis myocutaneous flaps. There was no difficulty in transferring the flap to reach the ischial defect in any patient. The length of the pedicle ranged from 8.5 to 14cm. All donor sites were closed primarily. Fifteen of the 16 flaps survived completely. Total necrosis occurred in one vastus lateralis myocutaneous flap, which was located at the distal third of the thigh. We conclude this flap can be added to the repertoire for the treatment of recurrent, difficult ischial pressure sores.

Keywords: Island pedicled anterolateral thigh flap, Vastus lateralis myocutaneous flap, Recurrent ischial pressure sore

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PII: S1748-6815(07)00214-8

doi:10.1016/j.bjps.2007.03.026

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 9 , Pages 1060-1066, September 2007