Pedicled Anterolateral Thigh Flaps for Reconstruction of Recurrent Trochanteric Pressure Ulcer
Archives of Reconstructive Microsurgery
;
: 32-36, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-167160
ABSTRACT
The reconstruction of recurrent pressure sores is challenging due to a limited set of treatment options and a high risk of flap loss. Successful treatment requires scrupulous surgical planning and a multidisciplinary approach. Although the tensor fascia lata flap is regarded as the standard treatment of choice-it provides sufficient tissue bulk for a deep trochanteric sore defect-plastic surgeons must always consider the potential of recurrence and accordingly save the second-best tissues. With the various applications of anterolateral thigh (ALT) flaps in the reconstructive field, we report two cases wherein an alternative technique was applied, whereby pedicled ALT fasciocutaneous island flaps were used to cover recurrent trochanteric pressure sores. The postoperative course was uneventful without any complications. The flap provided a sound aesthetic result without causing a dog-ear formation or damaging the lower-leg contour. This flap was used as an alternative to myocutaneous flaps, as it can cover a large trochanteric defect, recurrence is minimized, and the local musculature and lower-leg contour are preserved.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Retalhos Cirúrgicos
/
Coxa da Perna
/
Úlcera por Pressão
/
Fascia Lata
/
Fêmur
/
Retalho Perfurante
/
Retalho Miocutâneo
Idioma:
Inglês
Revista:
Archives of Reconstructive Microsurgery
Ano de publicação:
2015
Tipo de documento:
Artigo
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