Treatment of large ischial ulcers communicating with the hip joint with proximal femoral resection and reconstruction with a combined vastus lateralis, vastus intermedius and rectus femoris musculocutaneous flap

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Tahsin Oguz Acartürk

Abstract

Pressure ulcers which communicate with the hip joint are very difficult to treat. Often, the hip joint is infected with osteomyelitis of the proximal femur resulting in bouts of sepsis and flap failure. These patients require proximal femoral resection and wide debridement in order to eradicate the infection, which in turn results in large and deep cavities. Reconstruction requires either a muscle flap or even a total thigh flap if the defect is very large and the pelvis is involved. In a series of six ischial or ischio-trochanteric pressure sores communicating with the hip joint, following multiple serial debridements, the vastus lateralis, vastus intermedius and rectus femoris muscles were raised as a single musculocutaneous flap ('three muscle flap'), based on the descending branch of the lateral femoral circumflex artery, and transposed into the defect. All patients were paraplegics and had signs of sepsis during admission. Two patients had prior failed reconstructions within 3 months of admission and the others had not been operated on before. The external skin defect of the ulcers ranged from 7 x 5 cm to 30 x 12 cm. After 12 months follow up there was no recurrence of pressure sores or sepsis. The 'three muscle flap' offe...Continue Reading

References

Oct 1, 1976·Plastic and Reconstructive Surgery·R Ger, S A Levine
Oct 1, 1991·Plastic and Reconstructive Surgery·N B MelandH C Weiss
Sep 1, 1988·Annals of Plastic Surgery·N E KleinD Capen
Apr 1, 1987·Plastic and Reconstructive Surgery·M A Drimmer, M J Krasna
Nov 1, 1994·Annals of Plastic Surgery·S R BergerA C Griffin
Feb 1, 1993·Plastic and Reconstructive Surgery·G R EvansC A Vander Kolk

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Citations

Jun 29, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Paul Ting-Yuan ChengAshwin Chunilal
Nov 5, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jinguang HeJiasheng Dong
Aug 11, 2011·International Wound Journal·Neil G Fairbairn, Stuart A Hamilton
Jul 31, 2014·Archives of Plastic Surgery·Jae Hoon ShinChan Min Chung
Oct 27, 2015·Annals of Surgery·Kheeldass JugunIlker Uçkay
Jul 16, 2020·The Korean Journal of Internal Medicine·Jihyang Lim, Jehoon Lee
Aug 28, 2020·Curēus·Luca NegosantiRossella Sgarzani
Feb 8, 2019·Spinal Cord Series and Cases·Roop SinghKiranpreet Kaur
Dec 2, 2010·The Journal of Bone and Joint Surgery. British Volume·A J Suda, V Heppert
Feb 6, 2020·Spinal Cord Series and Cases·Roop SinghKiranpreet Kaur
Jun 27, 2021·Microsurgery·Steven B CannadyRabie M Shanti

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