Abstract
Perforator Flap is Better Option for Sacral Pressure Ulcer Repair because of Fewer Complications: Comparative Study of 20 Perforator and 11 Rotation Flap Surgeries
Highlights
Pressure ulcers classified as Stage IV [1] take a long time to heal, and may cause serious infections, such as osteomyelitis and sepsis [2,3,4,5]
The gluteal fasciocutaneous rotation flap technique has been chosen for the reconstruction of sacral pressure ulcers
The development of perforator flap surgery has increased the number of potential donor sites, because this type of flap can be supplied by any cutaneous perforator and donor site morbidity can be reduced
Summary
Pressure ulcers classified as Stage IV (according to National Pressure Ulcer Advisory Panel staging guidelines) [1] take a long time to heal, and may cause serious infections, such as osteomyelitis and sepsis [2,3,4,5] They usually require surgical repair using a muscle or fasciocutaneous flap (according to International Guidelines). Treatment of Pressure Ulcers: Quick Reference Guide) Gluteal fasciocutaneous flaps are commonly preferred, because they facilitate the preservation of the gluteal muscle integrity and muscle function [6]. They are expected to provide better long-term results following the surgical reconstruction of pressure ulcers than the myocutaneous or muscle flap [7]. We can use both perforator and rotation flaps; the literature is scant regarding which is the better procedure
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