The butterfly design: coverage of a large sacral defect with two pedicled lumbar artery perforator flaps.
The treatment of sacral pressure sores in ambulatory patients presents a challenge to the reconstructive surgeon. We report the successful use of two pedicled lumbar artery perforator flaps to cover a sacral defect measuring 12 cm x 25 cm. Stable coverage was provided, with protective sensibility, acceptable contour and minimal donor-site morbidity, while additional functional loss of the gluteal muscle was avoided. The configuration of the flaps resembles a butterfly.
de Weerd
L
L
Department of Plastic Surgery and Hand Surgery, University Hospital of Tromso, Norway.
Weum
S
S
D000328:Adult; D002056:Burns / Q000601:surgery*; D006801:Humans; D008297:Male; D003668:Pressure Ulcer / Q000601:surgery*; D012445:Sacrococcygeal Region; D013524:Surgical Flaps