The Usability of Perforator-based Fasciocutaneous Flap for Trochanteric Pressure Sore.
- Author:
Jung Seok YOO
1
;
Jun Kyu LIM
;
In Mo YOON
;
Dong Lark LEE
;
Tae Hwang AHN
Author Information
1. Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul, Korea. kwangps@naver.com
- Publication Type:Original Article
- Keywords:
Pressure ulcer;
Trochanter;
Perforator;
Tensor fascia lata
- MeSH:
Arteries;
Congenital Abnormalities;
Crutches;
Estrogens, Conjugated (USP);
Femoral Artery;
Femur*;
Follow-Up Studies;
Humans;
Myocutaneous Flap;
Pressure Ulcer*;
Recurrence;
Tissue Donors;
Walking;
Wheelchairs;
Wound Infection;
Wounds and Injuries
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2007;34(2):203-208
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Myocutaneous flap was widely used for trochanteric pressure sore but it had many drawbacks such as donor site morbidity, dog-ear deformity and functional muscle sacrifice. We have performed fasciocutaneous flap based on perforating vessels and succeeded in overcoming its drawbacks. METHODS: We experienced 11 cases of perforator-based fasciocutaneous flap for the coverage of trochanteric pressure sore in 9 patients, 2 cases of which were bilateral. The ambulatory status of patient group is as follows: 6 of them used a wheelchair, 2 of them are free walking, 1 of them use a wheelchair or crutches. Flap was supplied by cutaneous perforating vessel of descending branch of the lateral circumflex femoral artery and the third perforating artery of the deep femoral artery. The size of wounds were from 4x6.5cm to 10x13cm. RESULTS: We did not find any flap loss or congestion except 2 partial wound dehiscences and 1 wound infection. Donor site morbidity was not found. We observed no recurrence of the pressure sore during the 2.5 year follow-up period. CONCLUSION: We considered that perforator-based fasciocutaneous flap could overcome the traditional drawbacks of the conventional myocutaneous flap and its modified flap for trochanteric pressure sore. And this flap has many advantages for covering trochanteric pressure sore without any donor site deformity and morbidity, which would greatly improve the aesthetic result.
