Double adipofascial turnover flaps in repairing stage IV ischial pressure scores

Abstract

To report our therapeutic effect of double adipofascial turnover flaps in repairing stage IV ischial pressure scores. During the period of May 2009 to February 2013, we treated 11 cases of stage IV ischial pressure scores with double adipofascial turnover flaps and proper drainage. Based on the conditions of pressure scores and abundant blood supply of adipofascial flaps, we designed two adipofascial flaps on each side of lesion. The two flaps were overlaped to cover the pressure score, following with negative pressure drainage. All pressure scores healed primarily. The follow-up period ranged from 11 to 36 months with satisfactory results and no recurrence. Double adipofascial turnover flaps and proper drainage is a safe and simple method for the treatment of stage IV ischial pressure scores with satisfactory results.