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KMID : 1189320140080030309
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Asian Spine Journal
2014 Volume.8 No. 3 p.309 ~ p.314
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Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute
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Gupta Sandipan
Chattopadhyay Debarati
Agarwal Akhilesh Kumar
Guha Goutam
Bhattacharya Nirjhar
Chumbale Pawan K.
Gupta Souradip
Murmu Marang Buru
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Abstract
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Study Design: Case series.
Purpose: To describe paraspinal transposition flap for coverage of sacral soft tissue defects.
Overview of Literature: Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a durable skin and soft tissue cover adequate for even large sacral defects; minimize recurrence; and minimize donor site morbidity. Various musculocutaneous and fasciocutanous flaps have been described in the literature.
Methods: The flap was applied in 53 patients with sacral soft tissue defects of diverse etiology. Defects ranged in size from small (6 cm×5 cm) to extensive (21 cm×10 cm). The median age of the patients was 58 years (range, 16-78 years).
Results: There was no flap necrosis. Primary closure of donor sites was possible in all the cases. The median follow up of the patients was 33 months (range, 4-84 months). The aesthetic outcomes were acceptable. There has been no recurrence of pressure sores.
Conclusions: The authors conclude that paraspinal transposition flap is suitable for reconstruction of large sacral soft tissue defects with minimum morbidity and excellent long term results.
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KEYWORD
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Transposition flap, Pressure ulcer, Sacral defect
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