Repairing sacroiliac refractory decubital necrosis wound with keystone perforator island flap
10.3760/cma.j.issn.1009-4598.2018.04.011
- VernacularTitle: 应用改良拱顶石皮瓣修复骶尾部难治性压疮创面
- Author:
Pingzhi ZOU
1
;
Bin LIU
;
Renwu JIANG
;
Xiaoqing PENG
Author Information
1. Burn Department, Xiangtan City Central Hospital, Xiangtan 411100, China
- Publication Type:Journal Article
- Keywords:
Surgical flaps;
Sacroiliac decubital necrosis;
Wound healing
- From:
Chinese Journal of Plastic Surgery
2018;34(4):288-290
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical approaches and therapeutic effect by utilizing Keystone perforator island flap in repairing sacroiliac decubital necrosis.
Methods:From June 20013 to June 2016, 12 patients ( 8 males, 4 females; aged 35-83 years; raw surface 6.4cm×4cm-17cm×14cm) with Sacroiliac Decubital Necrosis underwent reconstructive operations by Keystone perforator island flap.
Results:16 flaps completely survived, without redundant tissues, and any signs of infection and introcession, no necrosis were noted, all appearances present satisfactory.
Conclusions:Superior Gluteal Perforator Arteries that provide blood supply are sufficient in Keystone perforator island flap , as they are anatomically fixed, few variations, nutrition skin and subcutaneous in large scope, The curative effect of Keystone design perforator island flap in repairing sacroiliac decubital necrosis was satisfactory.