[Resurfacing of an ischial and trochanteric recurrent pressure sore by a pedicled fasciocutaneous anterolateral thigh flap].
Ischial pressure sores, common in paraplegic patient, are the most difficult to treat, and poor prognosis associated with a high rate of postoperative recurrence. Many surgical techniques by muscular or myocutaneous flap coverage have been described. We report an original use of a fasciocutaneous pedicled anterolateral thigh (ALTp) flap for coverage of an ischial pressure sore combined with a trochanteric pressure sore, exceeded beyond any conventional therapeutic solution. A 45-year-old paraplegic patient suffered from a trochanteric and ischial pressure sore, which had already received coverage by a muscular flap of biceps femoris and gluteus maximus. At 1 year, the result is satisfactory, with good coverage without recurrence. The fasciocutaneous ALTp flap can be a solution to cover recurrent ischial pressure sores beyond conventional methods.
Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France. Electronic address: pierre.moullot@ap-hm.fr.
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Moullot
Service de chirurgie plastique, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France.
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Philandrianos
Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France.
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D
Casanova
D000071938:Fasciotomy; D006801:Humans; D007512:Ischium; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012008:Recurrence; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery
ALCp; ALTp; Escarre ischiatique; Escarre trochantérienne; Ischial pressure sore; Lambeau antérolatéral de cuisse pédiculée; Pedicled anterolateral thigh flap; Trochanteric pressure sore