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Gluteal Perforator Flaps for Coverage of Sacral Pressure Sores  

Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Jung, Jae Hoon (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Lee, Sang Woo (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Kim, Jung Yoon (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Kwon, Soon Sung (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Baek, Rong Min (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Minn, Kyeong Won (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
Kim, Yong Kyu (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.34, no.2, 2007 , pp. 191-196 More about this Journal
Abstract
Purpose: Gluteal perforator is easily identified in the gluteal region and gluteal perforator flap is a very versatile flap in sacral sore reconstruction. We obtained satisfying results using the gluteal perforator flap, so we report this clinical experiences with a review of the literature. Methods: Between November of 2003 and April 2006, the authors used 16 gluteal perforator flaps in 16 consecutive patients for coverage of sacral pressure sores. The mean age of the patients was 47.4 years (range, 14 to 78 years), and there were 9 male and 7 female patients. All flaps in the series were supplied by musculocutaneous arteries and its venae comitantes penetrating the gluteus maximus muscle and reaching the intrafascial and suprafascial planes, and the overlying skin forming a rich vascular plexus arising from gluteal muscles. Patients were followed up for a mean period of 11.5 months. Results: All flaps survived except one that had undergone total necrosis by patient's negligence. Wound dehiscence was observed in three patients and treated by secondary closure. There was no recurrence during the follow-up period. Conclusion: Gluteal perforator flaps allow safe and reliable options for coverage of sacral pressure sores with minimal donor site morbidity, and do not sacrifice the gluteus maximus muscle and rarely lead to post-operative complications. Freedom in flap design and easy-to perform make gluteal perforator flap an excellent choice for selected patients.
Keywords
Gluteal perforator flap; Sacral pressure sore;
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