The IGAP flap for ischial pressure sore reconstruction in tetraplegic patients

Abstract

In tetra and paraplegic patients, the appearance of ischial pressure sores due to the pressure points on the ischial tuberosities on the wheelchair is almost a rule and surgical reconstruction must be planned in a logical manner, because sore recurrence is common. The inferior gluteal perforator flap provides a good amount of well-vascularised tissue. This flap is reliably pedicled on a lateral perforator, and does not sacrifice the underlying gluteus maximus muscle. The flap has an excellent movement range and the donor defect can always be closed primarily.