title: Perforator-based island flap with a peripheral muscle patch for coverage of sacral sores.
abstract: Despite numerous therapeutic advances, the treatment of pressure sores remains a challenge. The increased use of perforator flaps enables surgeons to minimize donor-site morbidity by sparing the underlying muscle. In the presence of focal deep spaces, however, the inclusion of muscle would be beneficial. The goal of this study was to introduce a method for including a muscle patch at the periphery of a perforator-based island flap for coverage of sacral pressure sores. Between March 2010 and February 2015, 26 patients with stage IV sacral sores underwent perforator-based island flap reconstruction with a peripheral muscle patch. Patient characteristics, including sex, age, defect size, and postoperative complications, were recorded. All flaps survived without major complications. No flap necrosis was noted. The present study shows that a muscle patch incorporated into the periphery of a perforator-based flap can be transferred safely. This can be a good surgical option in cases where infection control or more volume is needed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.
authors.forename: Jung Woo
authors.initials: JW
authors.lastname: Chang
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.
authors.forename: Jang Hyun
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea. Electronic address: msschoi@hanyang.ac.kr.
authors.forename: Matthew Seung Suk
authors.initials: MSS
authors.lastname: Choi
mesh_terms: D000328:Adult; D000368:Aged; D003646:Debridement / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap; D061525:Perforator Flap; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D003668:Pressure Ulcer / Q000175:diagnosis / Q000601:surgery; D012720:Severity of Illness Index; D016038:Skin Transplantation / Q000009:adverse effects / Q000379:methods; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome
keywords: Island flap; Muscle flap; Perforator flap; Sacral sore