Perforator-Based Fasciocutaneous Island Rotation Flap in Treatment of Pressure sore

Kim,  Ji Su; Kim,  Dong Hoon; Lim,  Jun Kyu; Lee,  Dong Lark

Original Article

Journal of the Korean Society for Surgery of the Hand 2007;16(1):23-29.
Published online May 31, 2007.

Perforator-Based Fasciocutaneous Island Rotation Flap in Treatment of Pressure sore

Ji Su Kim, M.D., Dong Hoon Kim, M.D., Jun Kyu Lim, M.D.*, Dong Lark Lee, M.D.

¹Department of Plastic Surgery, Hanil General Hospital, Seoul, Korea.
²Department of Plastic Surgery, Saeson Plastic Clinic, Daejeon, Korea. kwangps@naver.com

천공분지에 기저를 둔 도서형 회전 근막 피부 피판을 이용한 압박궤양의 치료

, , ,

¹
²

Abstract

  The reconstruction of deep soft tissue defect such as pressure sore has difficult problems. Myocutaneous flaps have been used commonly as the best coverage method for pressure sore. But, they have several drawbacks such as sacrifice of functional muscle, high morbidity of the donor sites and bulkiness at the recipient site. The concepts of perforator flap has recently developed and widely used to overcome these disadvantages. Between March 2005 to July 2006, we have treated 9 patients who had pressure sore using perforator based fasciocutaneous island rotation flap. Preoperative unidirectional Doppler was used in all cases. Mean number of perforator vessels was 3.8 and flap sizes were from 7×5 cm to 14×13 cm. Rotation angles of flap were from 90 degree to 180 degree. In all cases, donor sites were closed primarily. All flap survived completely and postoperative complications were wound dehiscence in 1 case, wound infection in 3 cases. The mean postoperative follow up period was 15.7 months and recurrence was not reported. We could decrease donor site morbidity and cover wound sites easily by using flap rotation and get robust blood supply without sacrifice of functional muscle. Fasciocutaneous perforator island rotation flap would be very useful for various pressure sore treatment.

Key Words: Pressure sore, Surgical flap