The experience of free perforators flap in the treatment of patients with Ⅳ degree ischia-sacral ulcer
10.3760/cma.j.issn.1009-4598.2019.01.013
- VernacularTitle: 臀部自由穿支皮瓣治疗骶尾部Ⅳ度压疮
- Author:
Guangfeng SUN
1
;
Bihua WU
;
Jianping QI
;
Kaiyu NIE
;
Shujun LI
;
Wenhu JIN
;
Zairong WEI
;
Dali WANG
Author Information
1. Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563009, China
- Publication Type:Journal Article
- Keywords:
Perforators flap;
Pressure ulcers;
Repair
- From:
Chinese Journal of Plastic Surgery
2019;35(1):56-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the design of free perforator flap, and the efficacy of utilizing perforator flaps for Ⅳ degree Ischia-sacral ulcer treatment.
Methods:From January 2010 to October 2016, 18 patients with Ⅳ degree ischia-sacral ulcer were treated. The surface area of the sacral tail ranged from 4 cm×5 cm to 8 cm ×12 cm.Doppler sonography was used to detect potential perforator.All defects were repaired with free perforator flaps, designed based on the size and shape of the wound. The flap size ranged from 6 cm×11 cm to 9 cm×15 cm.
Results:One perforator flap went dehiscence after surgery, repaired by V-Y flap. All the rest of perforator flaps survived well, after 3-24 months follow-up. Flap texture and appearance was good, no ulcer reoccurred.
Conclusions:The free perforator flap is a simple technique.It does not need to tracethe trunk of vessels, and it does not cause major morbidities to the buttocks. Therefore, it is one of the ideal ways to repair Ⅳ degree Ischia-sacral ulcer.
