title: [Gluteal artery based perforator flaps for sacral pressure sore reconstruction in children].
abstract: BACKGROUND
  Children have much lower incidence of pressure sores (PS) than adults and furthermore, they are diagnosed in earlier stages. Therefore, the reported experience with surgical treatment of advanced pediatric PS is scarce.
  
  
  METHODS
  We present the surgical treatment of 2 chronic PS stage IV in children aged 11 and 14 years, by means of perforator flaps based on the gluteal arteries: in the first case we used a free-style flap based on a left medial gluteal perforator and in the second a large reusable rotation-advancement flap based on both right superior and inferior gluteal artery perforators.
  
  
  RESULTS
  In both patients we achieved a rapid cure with 100% survival of the flaps and a stable cover over a 6 month and 1 year follow-up respectively.
  
  
  CONCLUSIONS
  Gluteal artery perforator flaps can produce excellent and durable results in the reconstructive treatment of sacral pressure sores in children. These flaps carry lower morbidity than musculocutaneous flaps and are more reliable than traditional fasciocutaneous flaps. Furthermore they preserve more reconstructive options in case of recurrence during the children's lifetime.
authors.forename: B
authors.initials: B
authors.lastname: Berenguer
authors.forename: I
authors.initials: I
authors.lastname: Simal
authors.forename: M C
authors.initials: MC
authors.lastname: Marín
authors.lastname: E de Tomás
authors.forename: O
authors.initials: O
authors.lastname: Riquelme
authors.forename: A
authors.initials: A
authors.lastname: García Martín
authors.forename: J L
authors.initials: JL
authors.lastname: González
mesh_terms: D000293:Adolescent; D002081:Buttocks / Q000098:blood supply; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D061525:Perforator Flap / Q000098:blood supply; D003668:Pressure Ulcer / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome