J Korean Soc Plast Reconstr Surg.  2007 Mar;34(2):203-208.

The Usability of Perforator-based Fasciocutaneous Flap for Trochanteric Pressure Sore

• Yoo JS
• Lim JK
• Yoon IM
• Lee DL
• Ahn TH

Abstract

PURPOSE: Myocutaneous flap was widely used for trochanteric pressure sore but it had many drawbacks such as donor site morbidity, dog-ear deformity and functional muscle sacrifice. We have performed fasciocutaneous flap based on perforating vessels and succeeded in overcoming its drawbacks.
METHODS
We experienced 11 cases of perforator-based fasciocutaneous flap for the coverage of trochanteric pressure sore in 9 patients, 2 cases of which were bilateral. The ambulatory status of patient group is as follows: 6 of them used a wheelchair, 2 of them are free walking, 1 of them use a wheelchair or crutches. Flap was supplied by cutaneous perforating vessel of descending branch of the lateral circumflex femoral artery and the third perforating artery of the deep femoral artery. The size of wounds were from 4x6.5cm to 10x13cm.
RESULTS
We did not find any flap loss or congestion except 2 partial wound dehiscences and 1 wound infection. Donor site morbidity was not found. We observed no recurrence of the pressure sore during the 2.5 year follow-up period.
CONCLUSION
We considered that perforator-based fasciocutaneous flap could overcome the traditional drawbacks of the conventional myocutaneous flap and its modified flap for trochanteric pressure sore. And this flap has many advantages for covering trochanteric pressure sore without any donor site deformity and morbidity, which would greatly improve the aesthetic result.

Keyword

Pressure ulcer; Trochanter; Perforator; Tensor fascia lata

MeSH Terms

Arteries
Congenital Abnormalities
Crutches
Estrogens, Conjugated (USP)
Femoral Artery
Femur*
Follow-Up Studies
Humans
Myocutaneous Flap
Pressure Ulcer*
Recurrence
Tissue Donors
Walking
Wheelchairs
Wound Infection
Wounds and Injuries
Estrogens, Conjugated (USP)