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 14 cm. 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
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References
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Article info
Publication history
Published online: May 11, 2007
Accepted:
March 26,
2007
Received:
May 10,
2006
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
