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KMID : 0358820110380060815
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2011 Volume.38 No. 6 p.815 ~ p.820
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Considerations for Postoperative Results of Pressure Sores around Buttock Region by Musculocutaneous Flaps and Perforator Flaps
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Bae Seong-Hwan
Nam Su-Bong
Kim Kyung-Hoon
Lee Jae-Woo
Oh Heung-Chan
Choi Soo-Jong
Bae Yong-Chan
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Abstract
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Purpose: Perforator flaps have been widely used for reconstruction of pressure sores because they have many benefits, especially reducing tension. Otherwise in order to prevent recurrence of a pressure sore, sufficient thickness of a flap is desirable, so a musculocutaneous flap is also useful for reconstruction of a pressure sore. Therefore, the authors considered about the postoperative results of reconstruction of pressure sores between using perforator flaps and musculocutaneous flaps.
Methods: In this study, 33 patients (46 flaps) who underwent reconstructive operation of pressure sores from January 2007 to February 2011 were reviewed. Patients operated by using perforator flaps were 18 (18 flaps), and musculocutaneous flaps were 17 (28 flaps). We studied postoperative complications and recurrence.
Results: We experienced five patients (10 flaps) with complications or recurrences who were operated using musculocutaneous flaps and one patient using a perforator flap. One case using a perforator flap stemmed from dehiscence caused by a urinary fistula occurring in two months after the surgery. Among ten cases using musculocutaneous flaps, one case was caused by total necrosis of flap, five cases by partial necrosis of flap and dehiscence, and four cases by recurrences during follow-up period.
Conclusion: Even if more cases were required, it can be more considerable to operate using the perforator flap rather than the musculocutaneous flap to reduce the complication or recurrence of pressure sore.
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KEYWORD
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Musculocutaneous flap, Perforator flap, Pressure sore
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