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Related Experiment Videos

Ischial pressure sore coverage: a rationale for flap selection

R D Foster1, J P Anthony, S J Mathes

  • 1Division of Plastic and Reconstructive Surgery, University of California at San Francisco, USA.

British Journal of Plastic Surgery
|July 1, 1997
PubMed
Summary
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Selecting the right flap for ischial pressure sore coverage is crucial. The inferior gluteus maximus island flap and inferior gluteal thigh flap show the highest success rates, improving patient outcomes.

Area of Science:

  • Plastic Surgery
  • Wound Healing
  • Reconstructive Surgery

Background:

  • Pressure sores, particularly ischial, require effective treatment.
  • Flap coverage is a key component in managing complex pressure sores.
  • Specific criteria for flap selection and sequencing for ischial defects are not well-defined.

Purpose of the Study:

  • To evaluate flap selection and sequencing for ischial pressure sore coverage.
  • To compare success rates and complication profiles of different flap types.
  • To establish a rationale for individualized flap selection based on reliability and reusability.

Main Methods:

  • Retrospective analysis of 114 patients with 139 ischial pressure sores treated between 1979-1995.
  • Evaluation of preoperative risk factors, prior flap history, defect size, flap success, complications, and hospitalization length.

Related Experiment Videos

  • Comparison of outcomes for 112 flaps across various types.

    • Main Results:

    • Overall flap success rate was 83% (93/112).
    • Inferior gluteus maximus island flap (94%) and inferior gluteal thigh flap (93%) had the highest success rates.
    • V-Y hamstring flap (58%) and tensor fascia lata flap (50%) had the lowest success rates. Overall complication rate was 37%.

    Conclusions:

    • Proper flap selection and sequencing significantly improve short- and long-term success rates for ischial pressure sore coverage.
    • Flap reliability, reusability, and preservation of future options should guide flap selection.
    • An individualized approach to flap selection is recommended for optimal patient outcomes.