Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps
Archives of Plastic Surgery
;
: 387-393, 2014.
Article
in English
| WPRIM
| ID: wpr-227942
ABSTRACT
BACKGROUND:
Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores.METHODS:
We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course.RESULTS:
All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months.CONCLUSIONS:
The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Recurrence
/
Surgical Procedures, Operative
/
Wounds and Injuries
/
Retrospective Studies
/
Follow-Up Studies
/
Estrogens, Conjugated (USP)
/
Pliability
/
Pressure Ulcer
/
Perforator Flap
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2014
Type:
Article
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