ABSTRACT
The authors describe two successful reconstructions of recurrent pressure sores with
free fascio-cutaneous flaps. In Case 1, a free lateral thigh flap pedicled on the
first and third direct cutaneous branches of the deep femoral vessels was used to
cover a large recurrent sacral pressure sore. The vascular pedicle was dissected to
the deep femoral trunk proximally and anastomosed to the inferior gluteal vessels.
In Case 2, a free medial plantar flap was transferred to a recurrent ischial pressure
sore. The vascular pedicle was dissected to the posterior tibial vessels proximally.
The long vascular pedicle of the flap was passed through the femoral subcutaneous
tunnel, and end-to-side microvascular anastomoses were performed to the superficial
femoral trunk without any vein grafts. The authors advocate the use of free tissue
transfer for recurrent pressure sore reconstruction.
