Free flap coverage of gluteal defect using posteriorly translocated deep femoral vessels as recipient.
A 63-year-old paraparetic man presented with a large ischial pressure sore over the left buttock region. A failed surgical attempt using gluteal thigh flap transfer rendered the reconstructive task a challenging issue. In the absence of suitable regional flaps or any accessible recipient vessels nearby, we must employ a novel strategy to solve the clinical problem. The entire length of the deep femoral vessel was isolated through the anterior approach, which was then transposed posterior wards to the gluteal region to nourish a latissimus dorsi myocutaneous free flap while the patient was laid prone. The wound healed uneventfully and the patient remains ulcer-free throughout 3 years of follow-up.
Chang
Li-Ren
LR
Plastic Surgical Section, Department of Surgery, E-Da Hospital/I-Shou University, Jiau-Shu Tsuen, Yan-Chau Shiang, Kaohsiung County, Taiwan.
Lee
Jing-Wei
JW
D002081:Buttocks / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013524:Surgical Flaps / Q000098:blood supply*; D014945:Wound Healing