ABSTRACT
The ischial pressure ulcer, a condition common in the paraplegic patient in a wheelchair, are deemed to be poor prognosis made frequent recurrences after surgery. We hope to show in this work the interest and superiority shreds hamstrings in their care compared with other surgical techniques. A series of 20 ischial pressure ulcer operated in our department over a period of eight years with a mean of four years is analyzed and compared with literature data The optimal rate of recurrence found in the literature is 20%. all of these results highlights the importance of choosing the cover and flap. Quality followed postoperatively. Different surgical techniques are discussed including: the gluteus maximums, slender, tensor fascia lata fasciocutaneous thigh flap, rectus femoris, vastus lateralis, rectus abdominis, the most complex cases and the most extreme indications are described as. The treatment of ischial pressure ulcer is heavy and requires a multidisciplinary team to improve prognosis