title: Application of split gluteus maximus muscle--adipofascial turnover flap and subcutaneous tension-reducing suture technique in repair of decubitus ulcers.
abstract: The purpose of this study was to study the clinical effect of split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture in the treatment of decubitus ulcers. Thirty-one cases of sacrococcygeal decubitus ulcers were repaired by split gluteus maximus muscle-adipofascial turnover flap. The surface of flaps ranged from 5×6 cm to 7×8 cm. The skin was then closed, primarily using subcutaneous tension-reducing suture. Eighty-eight percent of the flaps (27 of 31) healed primarily. The split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture technique was found to be a highly efficient method of repairing decubitus ulcers with a relatively low ratio of recurrence.
authors: Weizhong
authors: W
authors: Liang
authors: Department of General Surgery, Meitan General Hospital, Xibahenanli, Chaoyang District, Beijing P.R. China.
authors: Zheng
authors: Z
authors: Zhou
authors: Zuojun
authors: Z
authors: Zhao
mesh_terms: D000368:Aged; D002081:Buttocks / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D003668:Pressure Ulcer / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Decubitus ulcers; Split gluteus maximus muscle–adipofascial turnover flap; Subcutaneous tension-reducing suture