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Corresponding Author

Ahmed Mohamad Tag El-Din

Document Type

Original Article

Abstract

Background: Pressure ulcers frequently occur in the gluteal region, particularly in paraplegic patients with a high risk of recurrence. For this reason, future reconstructive treatments should be considered when choosing flaps for reconstructive surgery. Both the upper and superior gluteal artery perforator flaps (IGAP and SGAP) are examples of neural perforator flaps; first and second perforators from profundal femoris artery perforator (PFAP) are popular perforator flaps in the treatment of gluteal pressure sores.

Objective: To assess the gluteal and para-gluteal regions by providing different sizes and designs of perforator propeller flaps to reconstruct gluteal pressure ulcers.

Material and methods: A prospective study was conducted on forty patients at Al-Azhar University Hospitals between Dec. 2018 and Feb. 2023. Patients presented with different gluteal pressure ulcers reconstructed by free-style perforator propeller flaps. Flap size, source artery of the perforator, perforator site, flap survival, rotation angle, operative time, and complications were recorded.

Result: The Mean hospital stay (days) was 37.85 ± 12.71, and the follow-up mean was 8.68 ± 1.95. The mean of propeller flap size was 183.64 ± 31.76, and the mean of Flap operation time was 158.50 ± 43.76.

Conclusion: Reconstruction of pressure ulcers can benefit from the free-style perforator flap, which has the advantage of having little donor-site morbidity and preserving spare tissue for future reconstruction.

Keywords

Pressure Ulcers; Morbidity; Perforator Propeller Flaps; Reconstruction; Aesthetic Outcomes

Subject Area

Plastic surgery

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