[Covering of ischial pressure sores using a fasciocutaneous flap from the posterior surface of thigh (modified Griffith method) after mattressing with the biceps femoris. Apropos of 11 cases].
The ischial region is the commonest site for pressure sores in paraplegics capable of sitting. The choice of treatment must be guided by two imperatives: the need for a thick tissue cover (mattressing) and perfect trophicity, the risk of recurrence which always remains possible. The association of a modified Griffith fasciocutaneous flap from the posterior surface of the thigh and a hamstring muscle flap (preferably biceps femoris) providing mattressing of the ischial region, appears to satisfy these imperatives. The other repair procedures are discussed in order to ensure the best management of the paraplegic patient's cutaneous capital, due to the continual risk of a new pressure sore or a recurrence of the ischial pressure sore.
Mateu
J
J
Service de Chirurgie Plastique, Reconstructrice et Esthétique, CHR Trousseau, Chambray-lès-Tours.
Laurent
B
B
Rouif
M
M
Ballon
G
G
Gréco
J M
JM
D000328:Adult; D005260:Female; D006801:Humans; D007512:Ischium; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications*; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*; D013518:Surgery, Plastic; D013524:Surgical Flaps
Couverture des escarres ischiatiques par lambeau fascio-cutané de face postérieure de cuisse (Griffith modifié) après matelassage par le biceps femoris. A propos de onze cas.