| Hip Flexion during Intraoperative Insetting of a Perforator Flap for Reconstruction of an Ischial Sore |
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Su Bong Nam, Heung Chan Oh, Jae Woo Lee<sup><xref ref-type="corresp" rid="cor1">*</xref></sup>, Kyeong Ho Song, and Seong Hwan Bae |
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Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea. surgeon@pusan.ac.kr |
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Received: 21 September 2016 • Revised: 7 November 2016 • Accepted: 7 November 2016 |
| Abstract |
Purpose:Perforator flap-using ischial sore reconstruction is performed in a prone position. But after the surgery, recurrence frequently occurs in a sitting position. In this sense, we introduce modified flap insetting method which closely resembles patient’s sitting position to lessen the flap tension surgically. Materials and Methods:Authors tried to check a skin tension difference between prone position and sitting position in normal people group and to find out the importance of performing flap insetting in hip flexion position. Healthy volunteers were collected (n=20) and designed the same length of 4 divided sections around the ischium. Lengths of each section were measured when hip joint was flexed to 90 degree and when both hip and knee joints were flexed to 90 degree and the statistical evaluation was performed. Twenty cases with ischial sore underwent reconstructive surgery using perforator flap under hip flexion position and followed-up for any recurrences. Results:There was a meaningful difference between the joint flexed skin length and that of the neutral position. Flap showed sufficient thickness over 12 months. Conclusion:It seems that recurrence could be reduced when the reconstructed flap could sufficiently cover in a sitting position regarding its significant length difference in normal people group. |
| Key Words:
Pressure ulcer, Ischium, Perforator flap |
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