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Related Experiment Video

Updated: Jul 17, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

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[The infragluteal perforator flap].

O Scheufler1, J Farhadi, G Pierer

  • 1Abteilung für Plastische, Rekonstruktive und Asthetische Chirurgie, Universitätsspital Basel. oscheufler@uhbs.ch

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|January 16, 2007
PubMed
Summary

This study introduces the infragluteal perforator flap for treating ischial pressure sores. This innovative technique preserves adjacent vascular territories, offering a viable option for recurrent ulcers in paraplegics.

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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Regenerative Medicine

Context:

  • Pressure sores, particularly ischial tuberosity ulcers, frequently recur in paraplegic patients.
  • Traditional flap surgeries often compromise adjacent vascular territories, limiting future treatment options.
  • A novel surgical approach is needed to address recurrent pressure sores while preserving critical vascular supply.

Purpose:

  • To develop and evaluate an infragluteal perforator flap for ischial pressure sore coverage.
  • To investigate the anatomical basis of the infragluteal perforator flap, including its vascular supply and innervation.
  • To assess the clinical efficacy and safety of this flap in paraplegic patients with recurrent pressure sores.

Summary:

  • Anatomical dissections in cadavers identified cutaneous branches of the inferior gluteal artery supplying the infragluteal skin.

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  • Infragluteal perforator flaps were successfully transferred to ischial defects in six paraplegic patients, with five healing without complications.
  • The technique spares the descending branch of the inferior gluteal artery, preserving vascular territories for potential future procedures.

    • Impact:

    • The infragluteal perforator flap offers a valuable alternative for ischial pressure sore reconstruction, reducing donor site morbidity.
    • This flap preserves adjacent vascular territories, crucial for managing recurrent ulcers in paraplegic individuals.
    • The potential for an innervated flap enhances sensory recovery and patient outcomes.