title: [Pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repair of large sacrococcygeal pressure sores].
abstract: OBJECTIVE
  To investigate the effectiveness of pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repairing large sacrococcygeal pressure sores.
  
  
  METHODS
  Between June 2003 and August 2011, 6 paraplegia patients with large sacrococcygeal pressure sores were repaired with the pedicled superior gluteal artery perforator bilateral quadrilobed flaps. There were 2 males and 4 females with an average age of 45.6 years (range, 37-62 years). The mean disease duration was 8.4 months (range, 3-26 months). According to National Pressure Ulcer Advisory Panel (NPUAP) standard, 6 cases rated as degree IV. The size of pressure sores ranged from 15 cm x 13 cm to 18 cm x 16 cm. The size of flaps ranged from 18 cm x 14 cm to 21 cm x 15 cm.
  
  
  RESULTS
  After operation, all flaps survived successfully. The wounds healed by first intention in 5 cases; partial dehiscence of incision occurred in 1 case, which was cured after dressing change for 26 days. Six patients were followed up 6-24 months (mean, 12.5 months). The appearance and texture of the flaps were smooth and soft with good elasticity and no ulceration.
  
  
  CONCLUSIONS
  Pedicled superior gluteal artery perforator bilateral quadrilobed flaps can repair large sacrococcygeal pressure sores. The appearance of flaps is smooth and has good compression-resistance effect.
authors.affiliation: Department of Burns and Plastic Surgery, 98th Hospital of Chinese PLA, Huzhou Zhejiang, 313000, P.R. China. xyp_79@163.com
authors.forename: Henglin
authors.initials: H
authors.lastname: Hai
authors.forename: Huatao
authors.initials: H
authors.lastname: Li
authors.forename: Yang
authors.initials: Y
authors.lastname: Chen
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.forename: Shenggang
authors.initials: S
authors.lastname: Wu
authors.forename: Wang
authors.initials: W
authors.lastname: Lili
authors.forename: Lei
authors.initials: L
authors.lastname: Yan
authors.forename: Zhou
authors.initials: Z
authors.lastname: Xiaoying
mesh_terms: D000328:Adult; D002081:Buttocks / Q000098:blood supply*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications*; D019990:Perioperative Care / Q000379:methods; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012445:Sacrococcygeal Region; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing