Arch Plast Surg 2017 Jul 15;44(4):351-352. Epub 2017 Jul 15.
Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea.
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J Plast Reconstr Aesthet Surg 2009 Oct 2;62(10):1339-46. Epub 2008 Jul 2.
Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Background: Inappropriate seating has been implicated as a major contributing factor in ischial pressure-sore recurrence. During their lifetime, paraplegic patients may require several flaps for closure of the same or some other adjacent pressure sore. Despite a wide variety of flap reconstruction options being described, the ischium remains the most difficult pressure-sore site to treat. Read More
Ann Chir Plast Esthet 2014 Oct 9;59(5):368-72. Epub 2013 Aug 9.
Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France.
Ischial pressure sores, common in paraplegic patient, are the most difficult to treat, and poor prognosis associated with a high rate of postoperative recurrence. Many surgical techniques by muscular or myocutaneous flap coverage have been described. We report an original use of a fasciocutaneous pedicled anterolateral thigh (ALTp) flap for coverage of an ischial pressure sore combined with a trochanteric pressure sore, exceeded beyond any conventional therapeutic solution. Read More
Wounds 2015 Jun;27(6):E12-5
Ischial pressure ulcers are difficult ulcers to treat and have a low treatment success rate compared to sacral and trochanteric ulcers; regional flap failure further complicates the treatment. Reported here is a case of a 65-year-old man who experienced a spinal injury with paraplegia due to trauma 20 years ago. The patient experienced a recurrent ischial ulcer since 2007, and underwent several types of flap reconstruction with poor outcomes over a 7-year period. Read More
Plast Reconstr Surg Glob Open 2014 May 6;2(5):e142. Epub 2014 Jun 6.
Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan; and Division of Plastic Surgery, Kochi Health Sciences Center, Kochi, Japan.
Background: Recurrence and complication rates of pressure sores are highest in the ischial region, and other donor sites are needed for recurrent pressure sores. The potential of a new freestyle pedicle flap for ischial lesions, an internal pudendal artery perforator (iPap) thigh flap, was examined through anatomical and theoretical analyses and a case series using computed tomography angiography.
Methods: The skin flap was designed in the thigh region based on an iPap. Read More