Department of Plastic, Reconstructive and Aesthetic Surgery and Burn Unit - Centro Hospitalar, Universitário de São João, Porto, Portugal
Case Report
Pedicled Anterolateral Thigh Myocutaneous Flap for Trochanteric Pressure Sore Reconstruction: Case Report
Author(s): Alexandre Almeida* and F. Martins de Carvalho
Background: Reconstruction of pressure sores still present a major challenge in plastic surgery due to high rates of wound dehiscence and pressure sore recurrence. Trochanteric sores are generally closed with tensor fascia lata flaps, however with high recurrence rates.
Case report: We illustrated a case of trochanteric pressure sore with osteomyelitis of the femoral head treated with an alternative reconstructive option, Girdlestone procedure and a pedicled anterolateral thigh myocutaneous flap. Wide debridement of infected tissues and filling of dead space are of paramount importance in the treatment of pressure sores. In the presented case, with a one-stage surgery and prolonged antibiotherapy, the infection was resolved, and the postoperative period was uneventful. We were able to reconstruct the pressure sore with well vascularized tiss.. Read More»
DOI:
10.37421/1584-9341.2023.19.99
Journal of Surgery received 288 citations as per Google Scholar report