Buried inferiorly based gluteus maximus musculocutaneous flap for reconstruction of large, recurrent ischiopubic pressure sores

P. D. Wey, L. A. Casas, V. L. Lewis

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

The ischium is the most common site for recurrence of pressure sores in the paraplegic population. Successful reconstruction of these wounds depends on the total excision of ulcer, soft tissue debris, bony prominence, and the durability of the soft tissue repair. The V-Y gluteus maximus musculocutaneous flap based on the inferior gluteal vessels can be advanced medially, deepithelialized, and buried to fill large, deep soft tissue ischial wounds. Local rotational flaps close the superficial wound. This buried flap, although not previously described, is useful for the reconstruction of large ischiopubic pressure sores initially or at the time of recurrence.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalAnnals of Plastic Surgery
Volume24
Issue number3
DOIs
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Surgery

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