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A Journal on Surgery

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Chirurgia 2008 February;21(1):13-5

language: English

Myocutaneous versus fasciocutaneous flaps for sacral ulcer coverage in spinal cord injury. A 12 year experience

Margara A., Boriani F., Obbialero F. D., Bocchiotti M. A.

Department of Plastic Surgery University of Turin Turin, Italy


Aim. Pressure sore treatment in patients suffering from spinal cord injuries is a continous challenge for plastic surgeons. Preventive measures frequently fail and the only treatment is surgery. Authors analyze the surgical treatment of the ulcers in sacral region comparing myocutaneous VY advancement flaps versus fasciocutaneous flaps (perforator based and random).
Methods. In 12 year experience we have treated 183 ulcers of 162 patients, out of them 122 ulcers were reconstructed with a VY gluteus maximus myocutaneous flap; 61 lesions with a fasciocutaneous flap (43 were gluteus maximus perforator based and 18 random flaps).
Results. In 106 of 122 ulcers treated with VY myocutaneous flaps we obtained a complete healing. With fasciocutaneous flaps we obtained a total amount of 34 healings of 61 ulcers (25 of 43 with perforator based and 9 of 18 with random flaps).
Conclusion. From our clinical experience we believe that in embedded patients with spinal chord injuries reconstruction of sacral ulcers is best performed by myocutaneous flaps.

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