A variation of the transverse lumbosacral flap in the treatment of sacral pressure sores / Variaçäo técnica do retalho transverso lombossacro no tratamento das ulceras sacras

The author presents a modification of the lumbosacralflap for treatment of sacral pressure sores that avoids the use of skin grafts at the donor area. The modified technique was performed on thirty-six paraplegicpatients, where as only three of them had complications: two case of epidermolysis and one with necrosis of the distal third of the flap. These results show the surgical viability of the modified technique as an additional option in the treatment of this complex pathology.