Anterograde pedicled anterolateral thigh flaps for treatment of complicated hip decubitus

Abstract

Objective To investigate the methods and effects of anterolateral thigh flap reconstruction of the complicated hip decubitus. Methods The study contained 24 cases of grade Ⅳ hip decubitus reconstructed with anterograde pedicled anterolateral thigh flaps through May 2010 to July 2014. There were 13 males and 11 females, aged 26-64 years (mean 54 years). Defects ranged in size from 12 cm×6 cm to 24 cm×12 cm. Dimensions of flaps harvested were 14 cm×8 cm to 30 cm×14 cm. Eighteen cases of the donor sites were directly sutured and six covered with full thickness skin. Results Twenty-two flaps survived completely, and wound was healed by the first intension. Two flaps developed partial distal necrosis, and wound was healed after dressing treatment. Period of follow-up was 6 months to 2 years. Shape, texture and color of the flaps were well matched with the recipient area. Conclusion The anterolateral thigh flap transplantation has advantages of similarity to the recipient area, large enough flap area and sound expected effective and is a good method for repair of hip decubitus. Key words: Surgical flaps; Buttocks; Bedsores