Latissimus dorsi free flaps for complex ischiosacral defects.
BACKGROUND
Free tissue transfer for coverage of complex wounds in the ischial and sacral area can be limited by the lack of adequate recipient vessels.


METHODS
We reviewed the records of 3 patients seen between August 2002 and December 2005 who underwent free tissue transfer to ischiosacral defects.


RESULTS
Two patients were quadriplegic, and 1 patient was ambulatory. The gluteal vessels were used as recipients in 2 patients, and 1 patient had an arteriovenous loop to the femoral vessels. All flaps were successful and all wounds healed.


CONCLUSIONS
A free latissimus flap to the ischiosacral area can be effective, and both local (gluteal) and regional (femoral) vessels can serve as recipient vessels.
Feliciano
Beejay
B
Section of Plastic and Reconstructive Surgery, Virginia Mason Medical Center, Mailstop: X11-PRS, 1100 Ninth Ave., P.O. Box 900, Seattle, WA 98111, USA.
Paige
Keith T
KT
Beshlian
Kevin M
KM
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery*; D012445:Sacrococcygeal Region / Q000293:injuries* / Q000601:surgery*; D013524:Surgical Flaps