The Management of Decubitus Ulcers by Musculocutaneous Flaps: A Five-Year Experience
- 1 February 1992
- journal article
- case report
- Published by Wolters Kluwer Health in Annals of Plastic Surgery
- Vol. 28 (2) , 167-174
- https://doi.org/10.1097/00000637-199202000-00007
Abstract
Large decubitus ulcers can be treated by using many methods, including musculocutaneous flaps. Musculocutaneous flaps provide reliable, well-vascularized cover and often can be revised in patients with secondary recurrence. We have treated 30 patients with large decubitus ulcers during a 5-year period by using musculocutaneous advancement flaps of the gluteus maximus, the hamstring muscle, and the tensor fasciae latae. There were two complications treated by debridement with flap advancement in 1 patient and the use of another flap in the second patient. Four patients developed a recurrent ulcer, which was treated by reelevation and advancement of the original flap in all patients. The general management and overall results are presented.Keywords
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