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Arch Hand Microsurg > Volume 24(1); 2015 > Article
Archives of Hand and Microsurgery 2015;24(1):32-36.
Published online May 30, 2015.
DOI: https://doi.org/10.15596/ARMS.2015.24.1.32   
Pedicled Anterolateral Thigh Flaps for Reconstruction of Recurrent Trochanteric Pressure Ulcer
Sujin Bahk, Seung Chul Rhee, Sang Hun Cho, and Su Rak Eo*
Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University Graduate School of Medicine, Ilsan, Korea. sreodoc@gmail.com
Received: 7 January 2015   • Revised: 3 April 2015   • Accepted: 7 April 2015
Abstract

The reconstruction of recurrent pressure sores is challenging due to a limited set of treatment options and a high risk of flap loss. Successful treatment requires scrupulous surgical planning and a multidisciplinary approach. Although the tensor fascia lata flap is regarded as the standard treatment of choice–it provides sufficient tissue bulk for a deep trochanteric sore defect–plastic surgeons must always consider the potential of recurrence and accordingly save the second-best tissues. With the various applications of anterolateral thigh (ALT) flaps in the reconstructive field, we report two cases wherein an alternative technique was applied, whereby pedicled ALT fasciocutaneous island flaps were used to cover recurrent trochanteric pressure sores. The postoperative course was uneventful without any complications. The flap provided a sound aesthetic result without causing a dog-ear formation or damaging the lower-leg contour. This flap was used as an alternative to myocutaneous flaps, as it can cover a large trochanteric defect, recurrence is minimized, and the local musculature and lower-leg contour are preserved.

Key Words: Perforator Flap, Pressure sore
 


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