지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 455 - 461 (7page)
이용수
초록· 키워드
오류제보하기
Background Various surgical management methods have been proposed for ischial sore reconstruction, yet it has the highest recurrence rate of all pressure ulcer types. A novel approach combining the advantages of a perforator-based fasciocutaneous flap and a muscle flap is expected to resolve the disadvantages of previously introduced surgical methods. Methods Fifteen patients with ischial pressure ulcers with chronic osteomyelitis or bursitis, who underwent reconstructive procedures with an inferior gluteal artery perforator (IGAP) fasciocutaneous flap and a split inferior gluteus maximus muscle flap from January 2011 to June 2016, were analyzed retrospectively. The split muscle flap was rotated to obliterate the deep ischial defect, managing the osteomyelitis or bursitis, and the IGAP fasciocutaneous flap was rotated or advanced to cover the superficial layer. The patients' age, sex, presence of bursitis or osteomyelitis, surgical details, complications, follow-up period, and ischial sore recurrence were reviewed. Results All ischial pressure ulcers were successfully reconstructed without any flap loss. The mean duration of follow-up was 12.9 months (range, 3-35 months). Of 15 patients, one had a recurrent ulcer 10 months postoperatively, which was repaired by re-advancing the previously elevated fasciocutaneous flap. Conclusions The dual-flap procedure with an IGAP fasciocutaneous flap and split inferior gluteus maximus muscle flap for ischial pressure ulcer reconstruction is a useful method that combines the useful characteristics of perforator and muscle flaps, providing thick dual padding with sufficient vascularization while minimizing donor morbidity and vascular pedicle injury.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Hurteau JE / 1981 / V-Y advancement of hamstring musculocuataneous flap for coverage of ischial pressure sores / Plast Reconstr Surg 68:539~542
Ramirez OM / 1984 / The sliding gluteus maximus myocutaneous flap : its relevance in ambulatory patients / Plast Reconstr Surg 74:68~75
Pena MM / 1992 / The inferiorly based rectus abdominis myocutaneous flap for reconstruction of recurrent pressure sores / Plast Reconstr Surg 89:90~95
Rubin JA / 1995 / The posterior thigh fasciocutaneous flap : vascular anatomy and clinical application / Plast Reconstr Surg 95:1228~1239
Lindan O / 1965 / Pressure distribution on the surface of the human body. I. Evaluation in lying and sitting positions using a “bed of springs and nails” / Arch Phys Med Rehabil 46:378~385
Ramirez OM / 1984 / The sliding gluteus maximus myocutaneous flap : its relevance in ambulatory patients / Plast Reconstr Surg 74:68~75
Pena MM / 1992 / The inferiorly based rectus abdominis myocutaneous flap for reconstruction of recurrent pressure sores / Plast Reconstr Surg 89:90~95
Rubin JA / 1995 / The posterior thigh fasciocutaneous flap : vascular anatomy and clinical application / Plast Reconstr Surg 95:1228~1239
Lindan O / 1965 / Pressure distribution on the surface of the human body. I. Evaluation in lying and sitting positions using a “bed of springs and nails” / Arch Phys Med Rehabil 46:378~385
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