A new flap alternative for trochanteric pressure sore coverage: distal gluteus maximus musculocutaneous advancement flap.

摘要: Management of long-term bedridden patients experiencing pressure sores still represents a surgical challenge due to limited flap alternatives and high recurrence rates after the treatment. Fasciocutaneous, musculocutaneous, local perforator-based flaps, free flaps have all been used for treatment trochanteric sores. This study presents new use distal gluteus maximus (GM) muscle as an advancement musculocutaneous coverage in 7 patients. The technique involves design long V-shaped skin island over fibers GM muscle, beginning from inferoposterior wound edge extending inferomedially, almost parallel gluteal crease. After its harvest on paddle can be advanced onto defect, whereas itself is rotated severing insertion femur. If second triangular designed proximal cover associated sacral 2 coexisting reconstructed concomitantly with paddles single belly at 1 setting. Of patients, 3 had (bilateral sacral), (sacral trochanteric), (only trochanteric) All ulcers were closed successfully survived totally without any complication except one which we experienced minimal dehiscence early postoperative period. Conclusively, our current method provided reliable although it was technically straightforward fast. Additionally, offers simultaneous closure islands flap.