The modified bilobed flap for reconstructing sacral decubitus ulcers

Xiangong Jiao; Chunxiao Cui; Sally Kiu-Huen Ng; Zhangjia Jiang; Chihui Tu; Jiemin Zhou; Xiandong Lu; Xianwen Ouyang; Tong Luo; Ke Li; Yixin Zhang

doi:10.1093/burnst/tkaa012

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The modified bilobed flap for reconstructing sacral decubitus ulcers

更新时间：2022-06-09

- The modified bilobed flap for reconstructing sacral decubitus ulcers
- Burns & Trauma Vol. 8, Issue 1, (2020)
- 作者机构：
  
  1. Plastic
  2. ENT Institute
  3. Department of Facial Plastic and Reconstructive Surgery
  4. NHC Key Laboratory of Hearing Medicine
  5. Department of Plastic Surgery
  6. Department of Plastic and Reconstructive Surgery
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkaa012
  CLC：
- Published：2020，
  
  Published Online：12 December 2020，
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Xiangong Jiao, Chunxiao Cui, Sally Kiu-Huen Ng, Zhangjia Jiang, Chihui Tu, Jiemin Zhou, Xiandong Lu, Xianwen Ouyang, Tong Luo, Ke Li, Yixin Zhang, The modified bilobed flap for reconstructing sacral decubitus ulcers, Burns & Trauma, Volume 8, 2020, tkaa012, https://doi.org/10.1093/burnst/tkaa012
DOI：

Xiangong Jiao, Chunxiao Cui, Sally Kiu-Huen Ng, Zhangjia Jiang, Chihui Tu, Jiemin Zhou, Xiandong Lu, Xianwen Ouyang, Tong Luo, Ke Li, Yixin Zhang, The modified bilobed flap for reconstructing sacral decubitus ulcers, Burns & Trauma, Volume 8, 2020, tkaa012, https://doi.org/10.1093/burnst/tkaa012 DOI：

摘要

Abstract

BackgroundSacral pressure ulcers are associated with high morbidity and

in some cases

result in mortality from severe sepsis. Local flaps are frequently used for reconstruction of stage III and IV pressure ulcers. An ideal flap should be simple to design

have a reliable vascular supply and minimal donor site morbidity. Our study evaluates the use of a bilobed flap based on the superficial branch of the superior gluteal artery or the posterior branch of the fourth lumbar artery to reconstruct the sacral pressure ulcer.Case presentationWe performed a retrospective analysis of paraplegic patients with sacral pressure ulcers treated with our bilobed flaps from January 2015 to December 2019. A description of our management

operative protocol

outcome and complications is outlined. Seven paraplegic patients (6 male

1 female; average age 53.1 years) with sacral pressure ulcers were treated with our bilobed flap based on the superficial branch of the superior gluteal artery or the posterior branch of the fourth lumbar artery. The average size of the pressure ulcers was 7 × 5 cm (range 6.2 × 4.5 cm to 11 × 10 cm). All 7 flaps survived. The patients were followed up for 12 months without significant complications

such as flap necrosis or recurrence.ConclusionsThe superficial branch of the superior gluteal artery or the posterior branch of the fourth lumbar artery reliably supplies the bilobed flap. The superior cluneal nerve can be included in the design. The technique is simple and reliable. It should be included in the reconstructive algorithm for the management of sacral pressure ulcers.

关键词

Keywords

SacrococcygealPressure soreSuperior cluneal nerveBilobed flapSuperior gluteal arteryFourth lumbar artery

references

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