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J Reconstr Microsurg 2010; 26(3): 153-157
DOI: 10.1055/s-0029-1242136
© Thieme Medical Publishers

Treatment of Ischial Pressure Sores Using a Modified Gracilis Myofasciocutaneous Flap

Haodong Lin1 , Chunlin Hou1 , Aimin Chen1 , Zhen Xu1
  • 1Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, P. R. China
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Publication History

Publication Date:
09 November 2009 (online)

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ABSTRACT

Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients with ischial sores were enrolled in the study. All patients underwent early aggressive surgical debridement followed by surgical reconstruction with a modified gracilis myofasciocutaneous flap. The follow-up period ranged from 13 to 86 months, with a mean of 44 months. Overall, 91.7% of the flaps (11 of 12) survived primarily. Partial flap necrosis occurred in one patient. Primary wound healing occurred without complications at both the donor and recipient sites in all cases. In one patient, grade II ischial pressure sores recurred 13 months after the operation. There was no recurrence in other 11 patients. A modified gracilis myofasciocutaneous flap provides a good cover for ischial pressure sores. Because it is easy to use and has favorable results, it can be used in the primary treatment for large and deep ischial pressure sores.

KEYWORDS

Gracilis muscle flap - pressure sore - reconstruction

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Chunlin HouM.D. 

Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University

Fengyang Road 415, Shanghai 200003, People's Republic of China

Email: chunlin_hou@yahoo.com.cn