Gluteal plication closure of sacral pressure ulcers

A technique for closure of gluteal pressure sores is described. It has been successfully used on 19 of 21 patients during the last 58 months. Median follow-up time is 23 months. Muscular and vascular integrity are preserved for future myocutaneous flap coverage if required. It is recommended as a relatively conservative method of early repair of sacral pressure defects not in excess of 8 cm in diameter.