title: The butterfly design: coverage of a large sacral defect with two pedicled lumbar artery perforator flaps.
abstract: 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.
authors.affiliation: Department of Plastic Surgery and Hand Surgery, University Hospital of Tromso, Norway.
authors.forename: L
authors.initials: L
authors.lastname: de Weerd
authors.forename: S
authors.initials: S
authors.lastname: Weum
mesh_terms: D000328:Adult; D002056:Burns / Q000601:surgery*; D006801:Humans; D008297:Male; D003668:Pressure Ulcer / Q000601:surgery*; D012445:Sacrococcygeal Region; D013524:Surgical Flaps