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Related Experiment Video

Updated: Feb 10, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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[Defect coverage using gluteal flaps].

T R Mett1, M K Boyce2, R Ipaktchi2

  • 1Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. mett.tobias@mh-hannover.de.

Operative Orthopadie Und Traumatologie
|May 11, 2018
PubMed
Summary
This summary is machine-generated.

Gluteal flaps, including skin, fasciocutaneous, and myocutaneous types, effectively cover sacral and ischiocrural decubitus ulcers when conservative treatments fail. These reconstructive options offer reliable solutions for pressure sore coverage.

Keywords:
Decubitus ulcerMyocutaneous flapsPerforator flapPressure ulcerSacral region

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Wound Healing

Background:

  • Decubitus ulcers in the sacral and ischiocrural areas present significant challenges for healing.
  • Conservative therapies are often insufficient for deep or persistent pressure ulcers.

Purpose of the Study:

  • To evaluate the efficacy of gluteal flaps for covering sacral and ischiocrural decubitus ulcers.
  • To describe the surgical techniques and outcomes associated with these reconstructive procedures.

Main Methods:

  • Classification of flaps: local skin, perforator-based fasciocutaneous, and myocutaneous gluteus maximus flaps.
  • Surgical technique involves flap elevation based on gluteal vessels, tailored to defect size and depth.
  • Primary closure of donor sites is standard.

Main Results:

  • Gluteal flaps provide reliable coverage for sacral and ischiocrural decubitus ulcers.
  • Fasciocutaneous and myocutaneous flaps are established procedures with improved technical knowledge.
  • Patient positioning and wound care are crucial for successful outcomes.

Conclusions:

  • Gluteal flaps are a viable and effective reconstructive option for complex decubitus ulcers.
  • Advancements in surgical techniques enhance the reliability of these flap reconstructions.
  • Careful patient selection and postoperative management are essential for optimal results.