Pressure sores are increasing in frequency commensurate with an ageing population
with multi-system disorders and trauma. Numerous classic options are described for
providing stable wound cover. With the burgeoning knowledge on perforator anatomy,
recent approaches focus on the use of perforator-based flaps in bedsore surgery. A
giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional
options of reconstruction appeared remote, the massive ulcer was successfully managed
by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps
were raised as separate paddles based on the anterolateral thigh perforator branches
and provided stable cover without complications. Perforators allow versatility in
managing complex wounds without compromising on established principles.
Keywords
Pedicled perforator chimeric flap - Pressure sore - Trochanteric sore
