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Tip anchor flap in decubital surgery.

P Erba¹, P G di Summa, W Raffoul

¹Department of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Basel, 4031, Basel, Switzerland.

Aesthetic Plastic Surgery

|April 23, 2011

Summary

Anchoring decubital ulcers with gluteal rotation flaps, using a deepithelialized tip for subcutaneous support, promotes stable healing. This technique prevents recurrence in paraplegic patients, allowing early mobilization and undisturbed wound healing.

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Area of Science:

Plastic Surgery
Orthopedic Surgery
Wound Healing

Background:

Flap stability is crucial in decubital surgery to prevent shearing forces.
Early mobilization and primary wound healing depend on secure flap anchoring.
Sacral decubital ulcers pose a significant challenge in paraplegic patients.

Purpose of the Study:

To evaluate the efficacy of gluteal rotation flaps with a deepithelialized tip for anchoring sacral decubital ulcers.
To assess initial wound healing and long-term recurrence rates after this surgical technique.

Main Methods:

A uniform group of eight paraplegic patients with sacral decubital ulcers were treated.
Gluteal rotation flaps with a deepithelialized tip were used for subcutaneous anchoring on the contralateral ischial tuber.

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Initial wound healing and recurrence after one year were evaluated.

Main Results:

Uneventful wound healing was observed in all but one patient.
No signs of recurrence or instability were noted in any of the flaps after one year.
The deepithelialized flap tip facilitated integration and stabilization.

Conclusions:

Sufficient anchoring of sacral rotation flaps using a deepithelialized part is effective.
This technique ensures flap stability, promotes healing, and prevents recurrence in decubital ulcer surgery.
Early patient mobilization is facilitated by secure flap anchoring.