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[Back loss cover in orthopedic surgery by helical lumbar perforator flaps: About 6 cases]
L Ruffenach1, E Robert1, C Dissaux1
1Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
Introduction:
The existence of voluminous paralumbar perforators allows a simplification of the coverage of the lumbar region.
Materials And Methods:
The authors present a series about lumbar loss substance following orthopedic surgery, from 2012 to 2017. Coverage was provided by a fascio-cutaneous lumbar perforator flap.
Results:
Six patients were operated with mean age of 62.3 years, with an average follow-up of 16 months (up 6 to 41 months). Substance losses were secondary to a carcinologic excision, to a radiodermitis excision and to four debridements after infection of the operative site. In five cases, the reconstruction was performed by one lumbar perforator flap, and in one case by two lumbar perforator flaps. The average size of the substance losses was 171.91 cm2 (up 78 to 250 cm2). The average size of the flaps taken was 161 cm2 (up 50 to 250 cm2). The donor site was self-closing without sequelae. The postoperative sequences were simple and marked by a single partial necrosis of a flap, with a favorable evolution after directed healing. The quality of the cover was good with excellent trophicity.
Conclusion:
Lumbar perforator helical fascio-cutaneous flaps are a reliable means of covering the loss of substances in the lumbar region. The use of these flaps makes it possible to avoid the taking of complex myo-cutaneous flaps, causing sequelae of the donor site in a location difficult to cover.
