Various types of etiology of the pressure sore may be classified, but 2 types are main subject, one because of long comatous state of patient, the other because of paralegia following after trauma such as falling down accident, traffic accident and etc. During the course of the paraplegia, pressure sore may be occur almostly, and appropriate treatment and operation are needed for return of ordinary life and rehabilitation.
Various types of operation method be chosen according to the site & extent of the pressure sore, but it is reasonable to choose the one method with little financial & physical loading to patient. Chronic ulceration with long time duration has the cavity like appearance of Aladdin’s lamp. And sufficient padding is essential because of large extent of the cavity after excision of the sac, relative to the original sac.
Surgical maxim of pressure sore treatment is, radial excision of sac, and infected bursa, flattening of the bony prominence and covering the tissue and skin defect with flap surgery.
During the operation of flap surgery, it is better to make the large flap to relieve the tension and myocutaneous flap is the triumph in case of large tissue defect.
Myocutaneous flap is now widely used for pressure sore because of simplicity of operation, confirmative survival of flap and low recurrence rate. This report describes the use of 2 Tensor fascia late myocutaneous flaps for trochanteric ulcer and 1 compound pedicle 1 muscular pedicle Gracilis myocutaneous fiap for ischial pressure sores, All cases were successfully treated without significant complication.
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