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Related Concept Videos

Muscles that Move the Thigh01:20

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The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar...
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Related Experiment Video

Updated: Feb 10, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

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[Flap coverage using the posterior gluteal thigh flap].

M K Boyce1, T R Mett2, R Ipaktchi2

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

Operative Orthopadie Und Traumatologie
|May 20, 2018
PubMed
Summary

The posterior gluteal thigh flap offers a reliable solution for sacral and ischial decubital ulcers. This durable tissue coverage technique shows low recurrence rates, improving patient outcomes.

Keywords:
Decubitus ulcerFasciocutaneous flapsSacral regionSurgical flapsThigh

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Decubital ulcers in the sacral, trochanteric, or ischial regions pose significant challenges.
  • Conservative measures are often insufficient for managing these complex wounds.

Purpose of the Study:

  • To evaluate the effectiveness of the gluteal thigh flap for defect coverage in pressure ulcers.
  • To assess the reliability and recurrence rates associated with this surgical technique.

Main Methods:

  • The posterior gluteal thigh flap, utilized as a fasciocutaneous or myofasciocutaneous flap, is employed for defect coverage.
  • Contraindications include moribund patients, noncompliant individuals, and those with compromised donor sites.

Main Results:

  • The posterior gluteal thigh flap is a well-established and versatile option for sacral and ischial decubital ulcers.
  • Literature reports low recurrence rates following this reconstructive procedure.

Conclusions:

  • The gluteal thigh flap is a dependable method for reconstructing pressure ulcers in critical areas.
  • This technique provides durable tissue coverage with a favorable prognosis regarding recurrence.