Abstract
In large or recurrent trochanteric pressure sores with prominent bony involvement, absence of surrounding skin and subcutaneous tissue and with undurable, atrophic scars, excision of the greater trochanter and soft issue with the bursa creates large defects.Ideally, the coverage of defects in this area should include the use of a flap of much involuted tissue, and blood supply should be autonomous and axial for reliability and healing potential.In addition in these patients, one stage reconstruction is optimal, particularly if the donor defect can be closed primarily.We used the sartorius musculocutaneous flap in the repair of trochanteric pressure sores in one stage without the resection of the bony prominence and gained good results.Here in this paper we present the applied anatomy, the operative technique, and a typical case study.
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