Unilateral multilayered musculocutaneous V-Y advancement flap for the treatment of pressure sore.

Abstract:

:We have devised a modified technique using the gluteus maximus musculocutaneous flap as multilayered sliding V-Y advancement to cover pressure sores on the sacral area. Nine patients with relatively large (average 7 x 7 cm) sacral grade IV pressure sores underwent unilateral multilayered V-Y advancement flap. All patients were followed for a minimum of 8 weeks. The mean postoperative follow-up was 32.3 months, with a range of 24 to 39 months. Using this technique, the success of surgery, i.e., the percentage of sores that healed, was 100 percent in our patients. The advantages of this technique include sufficient advancement of the flap, coverage of large ulcer defects using only a unilateral musculocutaneous flap, and preservation of the contralateral gluteus maximus muscle for future use.

journal_name

Plast Reconstr Surg

authors

Lee HB,Kim SW,Lew DH,Shin KS

doi

10.1097/00006534-199708000-00009

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

340-5; discussion 346-9

issue

2

eissn

0032-1052

issn

1529-4242

journal_volume

100

pub_type

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