It occurs frequently extensive wounds requiring flap reconstruction around buttock, sacrococcygeal area and greater trochanteric area. Pressure sores are the most common etiology, although large defects are also caused by infection, trauma, or tumor.
For the treatment, it had been used by random pattern flap but nowadays various myocutaneous flaps ahve been designed and offer a wide range of choices for coverage. However, it is difficult to provide sufficient filling material and good quality flap cover with a single flap at one operation. The most desirable flaps may have been used or their blood supply violated. Even when available, myocutaneous flaps have not reliable provided closure ofr large wounds of buttocks and sacrococcygeal area and greater trochanteric area. Additionally, the sacrifice of major lower-limb motors is done with reluctance in ambulatory patients. But when it is used Inferior Gluteal Thigh Island Flap, which is the compound form of direct cutaneous flap and myocutaneous flap, we could have a good result to compensate the above handicap.
|