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An ideal method for pressure sore reconstruction: a freestyle perforator-based flap
Ching-Hsiang Yang1, Yur-Ren Kuo, Seng-Feng Jeng
1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.
Annals of Plastic Surgery
|January 5, 2011
Summary
Freestyle perforator-based fasciocutaneous flaps offer a successful approach for pressure sore reconstruction. This technique demonstrates versatility and ease of design, contributing to lower recurrence rates.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
Background:
- Pressure sore reconstruction presents significant challenges for plastic surgeons due to high long-term recurrence rates.
- A novel freestyle perforator-based flap was designed to address pressure sore recurrence and facilitate further reconstructive procedures.
Observation:
- A handheld Doppler device was utilized to precisely locate perforator vessels adjacent to pressure ulcers.
- The study involved 37 perforator-based flaps used in 34 patients to reconstruct sacral, ischial, and trochanteric ulcers.
Findings:
- Twenty-eight of the 37 flaps (75.7%) healed without complications.
- Complications included total flap necrosis (1 patient), partial flap necrosis (3 patients), wound dehiscence (3 patients), and one case of recurrence.
Implications:
- The freestyle perforator-based fasciocutaneous flap is a viable and effective option for managing pressure sores.
- The flap's design simplicity and versatility, combined with surgical expertise and postoperative care, lead to satisfactory outcomes and reduced recurrence.
