Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover

Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-bas...

Full description

Bibliographic Details
Main Author: Mehrotra Sandeep
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2009-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=126;epage=129;aulast=Mehrotra
_version_ 1828490146500050944
author Mehrotra Sandeep
author_facet Mehrotra Sandeep
author_sort Mehrotra Sandeep
collection DOAJ
description Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.
first_indexed 2024-12-11T10:38:34Z
format Article
id doaj.art-c78c3c8e96e54403b61d3eb8120f4083
institution Directory Open Access Journal
issn 0970-0358
1998-376X
language English
last_indexed 2024-12-11T10:38:34Z
publishDate 2009-01-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj.art-c78c3c8e96e54403b61d3eb8120f40832022-12-22T01:10:39ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01421126129Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for coverMehrotra SandeepPressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=126;epage=129;aulast=MehrotraPedicled perforator chimeric flap; Pressure sore; Trochanteric sore
spellingShingle Mehrotra Sandeep
Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
Indian Journal of Plastic Surgery
Pedicled perforator chimeric flap; Pressure sore; Trochanteric sore
title Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
title_full Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
title_fullStr Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
title_full_unstemmed Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
title_short Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
title_sort giant trochanteric pressure sore use of a pedicled chimeric perforator flap for cover
topic Pedicled perforator chimeric flap; Pressure sore; Trochanteric sore
url http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=126;epage=129;aulast=Mehrotra
work_keys_str_mv AT mehrotrasandeep gianttrochantericpressuresoreuseofapedicledchimericperforatorflapforcover