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Rectus femoris myocutaneous flaps for trochanteric ulcers
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|September 1, 1981
Summary
The rectus femoris myocutaneous flap offers a durable solution for trochanteric ulcers in paraplegics, outperforming traditional flaps. This method ensures stable healing, even with repetitive shear forces, reducing flap breakdown.
Area of Science:
- Reconstructive surgery
- Orthopedic surgery
- Wound healing
Background:
- Trochanteric ulcers in paraplegics are challenging to treat.
- Traditional local skin flaps often fail due to poor padding and breakdown.
- Repetitive shear forces exacerbate flap instability in this patient population.
Purpose of the Study:
- To evaluate the efficacy of the rectus femoris myocutaneous flap for trochanteric ulcer repair in paraplegic patients.
- To assess the durability and stability of this flap technique in a high-risk group.
Main Methods:
- Eight paraplegic patients with trochanteric ulcers underwent repair using the rectus femoris myocutaneous flap.
- Surgical technique involved harvesting and transferring the flap to cover the ulcer defect.
Main Results:
- All eight flaps achieved stable healing without breakdown.
- Three flaps healed primarily, while three experienced minor distal corner necrosis that resolved spontaneously.
- Two flaps had cutaneous necrosis requiring excision, but the underlying muscle remained viable.
Conclusions:
- The rectus femoris myocutaneous flap is a stable and durable option for trochanteric ulcer repair in paraplegics.
- This flap technique demonstrates resilience against shear forces, leading to successful long-term healing.