title: Ischial pressure ulcers: long-term outcome of 2 surgical techniques.
abstract: BACKGROUND
  The aim of our study was to analyze which of these 2 techniques (biceps femoris myocutaneous flap vs gluteus maximus myocutaneous flap) gave the best result for ischial pressure ulcers treatment.
  
  
  METHODS
  A retrospective comparative analysis of medical records for stage III and IV pressure ulcers was conducted between the 2 groups by Fisher exact test for categorical variables (significance level P <0.05) followed by a survival analysis by the Kaplan-Meier method.
  
  
  RESULTS
  Twenty-five patients were treated with biceps femoris flap against 8 patients with gluteus maximus flap, primary healing was obtained without complications in 32% of cases in biceps femoris group versus 62.5% in gluteus maximus group. No surgical techniques were statistically correlated with a lower recurrence (32% vs 0%, P = 0.152).
  
  
  CONCLUSIONS
  We had no significant difference in recurrence rate between the 2 flaps. However, we had less morbidity in gluteus maximus flap group; indeed, we had zero rate of reoperation and a zero rate of recurrence. For that reason, we think that gluteus maximus flap seems to be the best technical coverage of ischial pressure ulcers.
authors: From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud; †INSERM U917, University of Rennes 1, Rennes, France; ‡Department of Surgery, General Hospital, Ismailia, Egypt; and §Department of Medical Informatics, Pontchaillou Hospital, University of Rennes 1, Rennes, France.
authors: Nicolas
authors: N
authors: Bertheuil
authors: Sylvie
authors: S
authors: Aillet
authors: Jean-Laurent
authors: JL
authors: Heusse
authors: Mamdouh
authors: M
authors: Tawfik
authors: Boris
authors: B
authors: Campillo-Gimenez
authors: Eric
authors: E
authors: Watier
mesh_terms: D000328:Adult; D002081:Buttocks; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007512:Ischium; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap; D003668:Pressure Ulcer / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome