[Surgical treatment of decubital wounds in the trochanteric area]

A technique for operative treatment of decubital wounds in the trochanteric area is described. Skin-muscle flap from m. tensor fasciae latae is used. The characteristics of this type of wounds--significant bacterial invasion, involvement of trochanter major in the inflammatory process and well developed fibrous capsule--are taken into consideration. M. tensor fasciae latae is used as being most suitable for covering such defects. The stages of the operation are consecutively described: planning of the operation, cavity tamponade with gauze plug with suture ligatures, total excision, resection of trochanter major in case of inflammatory changes and formation and transposition of the skin-muscle flap.