scholarly journals A dual padding method for ischial pressure sore reconstruction with an inferior gluteal artery perforator fasciocutaneous flap and a split inferior gluteus maximus muscle flap

2019 ◽  
Vol 46 (5) ◽  
pp. 455-461
Author(s):  
Inhoe Ku ◽  
Gordon K. Lee ◽  
Saehoon Yoon ◽  
Euicheol Jeong
Keyword(s):  
Muscle Flap ◽  
Gluteus Maximus ◽  
Pressure Sore ◽  
Fasciocutaneous Flap ◽  
Inferior Gluteal Artery ◽  
Gluteus Maximus Muscle ◽  
Artery Perforator

scholarly journals Combined V-Y Fasciocutaneous Advancement and Gluteus Maximus Muscle Rotational Flaps for Treating Sacral Sores

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Hyun Ho Han ◽  
Eun Jeong Choi ◽  
Suk Ho Moon ◽  
Yoon Jae Lee ◽  
Deuk Young Oh
Keyword(s):  
Donor Site ◽  
Gluteus Maximus ◽  
Muscle Thickness ◽  
Donor Site Morbidity ◽  
Pressure Sore ◽  
Fasciocutaneous Flap ◽  
Common Site ◽  
Modified Method ◽  
Gluteus Maximus Muscle

The sacral area is the most common site of pressure sore in bed-ridden patients. Though many treatment methods have been proposed, a musculocutaneous flap using the gluteus muscles or a fasciocutaneous flap is the most popular surgical option. Here, we propose a new method that combines the benefits of these 2 methods: combined V-Y fasciocutaneous advancement and gluteus maximus muscle rotational flaps. A retrospective review was performed for 13 patients who underwent this new procedure from March 2011 to December 2013. Patients’ age, sex, accompanying diseases, follow-up duration, surgical details, complications, and recurrence were documented. Computed tomography was performed postoperatively at 2 to 4 weeks and again at 4 to 6 months to identify the thickness and volume of the rotational muscle portion. After surgery, all patients healed within 1 month; 3 patients experienced minor complications. The average follow-up period was 13.6 months, during which time 1 patient had a recurrence (recurrence rate, 7.7%). Average thickness of the rotated muscle was 9.43 mm at 2 to 4 weeks postoperatively and 9.22 mm at 4 to 6 months postoperatively (p=0.087). Muscle thickness had not decreased, and muscle volume was relatively maintained. This modified method is relatively simple and easy for reconstructing sacral sores, provides sufficient padding, and has little muscle donor-site morbidity.

A Double-Split Gluteus Maximus Muscle Flap for Reconstruction of the Rectal Sphincter

1985 ◽  
Vol 75 (1) ◽  
pp. 67
Author(s):  
Michael G. Orgel ◽  
John O. Kucan ◽  
Vincent R. Hentz
Keyword(s):  
Muscle Flap ◽  
Gluteus Maximus ◽  
Gluteus Maximus Muscle

The Gluteus Maximus Muscle Flap for Reconstruction of Sacral Chordoma Defects

2004 ◽  
Vol 53 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Poh-Koon Koh ◽  
Bien-Keem Tan ◽  
Soo-Wan Hong ◽  
Mann-Hong Tan ◽  
Andrew G. Tay ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Gluteus Maximus ◽  
Sacral Chordoma ◽  
Gluteus Maximus Muscle

Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap

2002 ◽  
Vol 55 (1) ◽  
pp. 83-85 ◽  
Author(s):  
James P. Higgins ◽  
Greg S. Orlando ◽  
Phillip N. Blondeel
Keyword(s):  
Pressure Sore ◽  
Inferior Gluteal Artery ◽  
Artery Perforator

scholarly journals Functional Assessment and Patient-Related Outcomes after Gluteus Maximus Flap Transfer in Patients with Severe Hip Abductor Deficiency

2020 ◽  
Vol 9 (6) ◽  
pp. 1823
Author(s):  
Paul Ruckenstuhl ◽  
Georgi I. Wassilew ◽  
Michael Müller ◽  
Christian Hipfl ◽  
Matthias Pumberger ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Gluteus Maximus ◽  
Functional Results ◽  
Flap Transfer ◽  
Related Quality ◽  
Health Related ◽  
Hip Abductor ◽  
Gluteus Maximus Muscle ◽  
Abduction Strength

(1) Background: Degeneration of the hip abductor mechanism, a well-known cause of functional limitation, is difficult to treat and is associated with a reduced health-related quality of life (HRQOL). The gluteus maximus muscle flap is a treatment option to support a severely degenerative modified gluteus medius muscle. Although several reports exist on the clinical outcome, there remains a gap in the literature regarding HRQOL in conjunction with functional results. (2) Methods: The present study consists of 18 patients with a mean age of 64 (53‒79) years, operatively treated with a gluteus maximus flap due to chronic gluteal deficiency. Fifteen (83%) of these patients presented a history of total hip arthroplasty or revision arthroplasty. Pre and postoperative pain, Trendelenburg sign, internal rotation lag sign, trochanteric pain syndrome, the Harris Hip Score (HHS), and abduction strength after Janda (0‒5) were evaluated. Postoperative patient satisfaction and health-related quality of life, according to the Short Form 36 (SF-36), were used as patient-reported outcome measurements (PROMs). Postoperative MRI scans were performed in 13 cases (72%). (3) Results: Local pain decreased from NRS 6.1 (0–10) to 4.9 (0–8) and 44% presented with a negative Trendelenburg sign postoperatively. The overall HHS results (p = 0.42) and muscular abduction strength (p = 0.32) increased without significance. The postoperative HRQOL reached 46.8 points (31.3–62.6) for the mental component score and 37.1 points (26.9–54.7) for the physical component score. The physical component results presented a high level of positive correlation with HHS scores postoperatively (R = 0.88, p < 0.001). Moreover, 72% reported that they would undergo the operative treatment again. The MRI overall showed no significant further loss of muscle volume and no further degeneration of muscular tissue. (4) Conclusions: Along with fair functional results, the patients treated with a gluteus maximus flap transfer presented satisfying long-term PROMs. Given this condition, the gluteus maximus muscle flap transfer is a viable option for selected patients with chronic gluteal deficiency.

scholarly journals Infragluteal fasciocutaneous flap for management of recurrent ischial pressure sore

2018 ◽  
Vol 51 (01) ◽  
pp. 070-076
Author(s):  
Umesh Kumar ◽  
Pradeep Jain
Keyword(s):  
Negative Pressure Wound Therapy ◽  
Donor Site ◽  
Muscle Flap ◽  
Major Complication ◽  
Pressure Sore ◽  
Fasciocutaneous Flap ◽  
Local Skin ◽  
Gracilis Muscle Flap ◽  
Donor Area ◽  
Residual Cavity

ABSTRACT Objective: The objective of the study was to determine the feasibility of infragluteal fasciocutaneous flap in recurrent ischial pressure sore. Materials and Methods: In our study, from 2015 to 2017, nine patients suffering from recurrent ischial sore with scars of previous surgery were managed with infragluteal fasciocutaneous flap. Wound bed was prepared by surgical debridement and negative pressure wound therapy in each case. In two cases, gracilis muscle flap was used as adjuvant to fill up the residual cavity. Donor area of flap was primarily closed. Results: Infragluteal fasciocutaneous flap was used in all nine cases. Superficial distal congestion was present in two cases. Haematoma (1) and infection (1) at flap donor site occurred. Recurrence of ulcer was observed in two cases which were managed by bursectomy and advancement of the bridge segment of the original infragluteal fasciocutaneous flap. All flaps survived without any major complication. Discussion: Ischial pressure sores have a tendency of recurrence after conservative or flap surgery. Scars due to previous surgeries adjacent to the pressure sore preclude the use of local skin or muscle flap. Infragluteal fasciocutaneous flap is a thick reliable fasciocutaneous flap that can be used for resurfacing recurrent ischial pressure sore. This flap has an axial pattern blood supply along with rich subfascial and fascial plexus supplied by various perforators. Conclusion: Infragluteal fasciocutaneous flap is reliable option for managing recurrent ischial sore as it transposes well-vascularised thick fasciocutaneous flap from adjacent posterior thigh and its bridge segment can be further used in case of recurrence.

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