A gluteus maximus myocutaneous island flap for the repair of a sacral decubitus ulcer

Maruyama, Yu; Nakajima, Hideo; Wada, Michitaka; Imai, Tatsuro; Fujino, Toyomi

doi:10.1016/0007-1226(80)90003-x

Cited by 28 publications

(2 citation statements)

References 5 publications

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“…Myocutaneous flaps have been considered as the standard first-line treatment for pressure sores that fail conservative therapy. These flaps were transposed as a rotational flap,[1] as an island flap[2] or as a V-Y advancement flap. [3–5] These flaps are reliable because of an abundant blood supply.…”

Section: Discussionmentioning

confidence: 99%

Perforator propeller flaps for sacral and ischial soft tissue reconstruction

Korambayil¹,

Allalasundaram²,

Balakrishnan³

2010

Indian J Plast Surg

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The perforator-based flaps in the sacral and ischial region is designed according to the localization of perforators that penetrate the gluteus maximus muscle, reach the intra-fascial and supra-fascial planes with the overlying skin forming a rich vascular plexus. The perforator-based flaps described in this article are highly vascularized, have minimal donor site morbidity, and do not require the sacrifice of the gluteus maximus muscle. In a period between April 2008 and March 2009, six patients with sacral pressure sore were reconstructed with propeller flap method based on superior gluteal and parasacral artery perforators. One flap loss was noted. Three cases of ischial pressure sore were reconstructed with longitudinal propeller flap cover, based on inferior gluteal artery perforator. One flap suffered wound infection and dehiscence. Two cases of pilonidal sinus were reconstructed with propeller flap based on parasacral perforators. Both the flaps survived without any complications. Donor sites were closed primarily. In the light of this, they can be considered among the first surgical choices to re-surface soft tissue defects of the sacral and ischial regions. In the series of 11 patients, two patients (18%) suffered complications.

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Section: Discussionmentioning

confidence: 99%

Perforator propeller flaps for sacral and ischial soft tissue reconstruction

Korambayil¹,

Allalasundaram²,

Balakrishnan³

2010

Indian J Plast Surg

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“…Among the muscle flaps, the gluteal flap was specifically used to treat pressure sores, either as a musculocutaneous rotation type [1], muscle transposition [2], or musculocutaneous island flap [3,4]. According to Mathes and Nahai, this is a type I flap with a single reliable vascular axis [5].…”

Section: Introductionmentioning

confidence: 99%

The inferior gluteal free flap: a series of 11 cases

Dumortier

Martinot

Patenotre

et al. 1999

European Journal of Plastic Surgery

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A series of 11 inferior gluteal free flaps is presented in eight patients with a mean age of 3 years and 3 months. The flap has been used four times for breast reconstruction, five times for the sequelae of axillary and popliteal burns, and twice for posttraumatic problems. Three necrosis were observed due to poor limb vascularity (electric burns, atheroma, sequelae of trauma). It is possible to form a pedicle of 7±8 cm. There is minimal donor site scarring which is the flap's strong point. Undoubtedly this flap deserves a place with other classical breast reconstruction techniques. It can also be used as a back-up technique for release of contractures over joints.

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The treatment of the sacral pressure sores in patients with spinal lesions

Stamate

Budurca

2005

Re-Engineering of the Damaged Brain and Spinal Cord

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A gluteus maximus myocutaneous island flap for the repair of a sacral decubitus ulcer

Cited by 28 publications

References 5 publications

Perforator propeller flaps for sacral and ischial soft tissue reconstruction

Perforator propeller flaps for sacral and ischial soft tissue reconstruction

The inferior gluteal free flap: a series of 11 cases

The treatment of the sacral pressure sores in patients with spinal lesions

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