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
- The modified bilobed flap for reconstructing sacral decubitus ulcers
- Burns & Trauma 2020年8卷第1期
- 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：
  
  This study was supported by funding from the following programs: The National Natural Science Foundation of China (Grant Number:81772098);the Clinical Multi-Disciplinary Team Research Program of the Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine;the Clinical Research Program of the Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine;and the Shanghai Municipal Education Commission Gaofeng Clinical Medicine Grant Support.
- DOI：10.1093/burnst/tkaa012
  中图分类号：
- 纸质出版日期：2020，
  
  网络出版日期：2020-12-12，
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Xiangong Jiao, Chunxiao Cui, Sally Kiu-Huen Ng, 等. The modified bilobed flap for reconstructing sacral decubitus ulcers[J]. Burns & Trauma, 2020,8(1).

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
Xiangong Jiao, Chunxiao Cui, Sally Kiu-Huen Ng, 等. The modified bilobed flap for reconstructing sacral decubitus ulcers[J]. Burns & Trauma, 2020,8(1). DOI： 10.1093/burnst/tkaa012.

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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