Abstract
Reconstruction for the sacral pressure sore after failed gluteus maximus musculocutaneous flap transfer is challenging to the plastic surgeon. In the condition of no available gluteus maximus musculocutaneous flaps, the transverse lumbosacral back flap may be used for salvage. The study is designed to review the reliability and versatility of the transverse lumbosacral back flap based on 12 consecutive patients in the past 5 years. With an average follow-up of 18 months (6 to 25 months), complete wound healing was achieved in 10 patients (83.3%). Two flaps had distal necrosis, of which required reinsertion of the flap and skin grafting. All donor sites were closed with skin graft. Based on results of our clinical experience, this flap is recommended as an another option for salvage of failed gluteus maximus musculocutaneous flap coverage of sacral pressure sore.
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