Free flap coverage of pyoderma gangrenosum leg ulcers.
BACKGROUND
Pyoderma gangrenosum is a necrotizing skin disorder of unknown cause. Treatment of pyoderma gangrenosum usually entails medical treatments. Surgical treatment is generally not successful.


OBJECTIVE
Two patients with pyoderma gangrenosum of their lower extremities are presented. The application and utility of microvascular free flap coverage of their ulcers is discussed.


RESULTS
Both patients achieved successful healing with microvascular free flaps.


CONCLUSIONS
Microvascular free flap coverage may be a surgical treatment option for selected patients with pyoderma gangrenosum.
Classen
Dale A
DA
Division of Plastic Surgery, Royal University Hospital, Saskatoon, Saskatchewan, Canada.
Thomson
Chris
C
D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D017511:Pyoderma Gangrenosum / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D014945:Wound Healing