title: [Repair of bedsore over greater trochanter in paraplegic patients with rectus femoris island myocutaneous flap].
abstract: OBJECTIVE
  To observe the effect of rectus femoris island myocutaneous flap for repairing bedsores in III and IV phases at the femoral greater trochanter area as a result of paraplegia.
  
  
  METHODS
  Thirteen paraplegic patients who suffered bedsores in III and IV phases at the greater trochanter of femur area were hospitalized from July 2009 to June 2013. The bedsores ranged from 4.5 cm×4.0 cm to 10.0 cm× 9.0 cm in area. After debridement, the size of soft tissue defect ranged from 5.0 cm×4.5 cm to 10.5 cm×10.0 cm. Rectus femoris island myocutaneous flaps were used to repair these defects, with flap area ranging from 5.0 cm×5.0 cm to 11.0 cm×10.0 cm and muscular pedicle length ranging from 8 to 12 cm. The donor sites of muscular pedicle were closed by direct suture, while those resulted from forming myocutaneous flap were closed by the transplantation of autologous skin obtained from thigh.
  
  
  RESULTS
  Necrosis appeared at the edge of myocutaneous flap in one patient, and it was healed after dressing change. The other 12 myocutaneous flaps survived well. Patients were followed up for 2 to 30 months, and bedsore did not recur.
  
  
  CONCLUSIONS
  Rectus femoris island myocutaneous flap, with characteristics of reasonable design, large donor area, big rotation angle, and with wear-, tear-, and pressure-resistance, is suitable for repairing bedsores at III and IV phases at the greater trochanter of femur area in paraplegic patients.
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Zunjiang
authors.initials: Z
authors.lastname: Zhao
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Baode
authors.initials: B
authors.lastname: Zhang
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Rongtao
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Qiguo
authors.initials: Q
authors.lastname: Liang
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Yudong
authors.initials: Y
authors.lastname: Hu
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Liangyuan
authors.initials: L
authors.lastname: Xu
authors.affiliation: Department of Burns and Plastic Surgery, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China.
authors.forename: Xiukun
authors.initials: X
authors.lastname: Wang
mesh_terms: D003646:Debridement; D005269:Femur / Q000601:surgery; D006801:Humans; D064827:Myocutaneous Flap; D010264:Paraplegia; D003668:Pressure Ulcer / Q000601:surgery*; D052097:Quadriceps Muscle / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome