What is it about?
A different surgical approach which relies upon two different flaps instead of one; the muscolar flap ( a strip of gluteus maximus) is shifted over the rasped ischiatic tuberosity, the second of fasciocutaneous nature is superimposed on the former to reinforce it
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Why is it important?
This surgery differs from the classic view because it brings on the area a vascular tissue such as the muscle, this is then reinforced by a fasciocutaneous flap nearby which confers protection, thickness, resilience and resistance to former flap. This approach seems to delay any sort of relapsing ulcer on the ischiatic area possibly because an increased resistance due to a vascular supply from different pathways
Perspectives
This technique has been introduced to the surgery of the trochanteric ulcers with promising results possibly as effective as those seen for the ischiatic ulcers.
M.D., PhD; Alessandro Borgognone
Operative Unit of Plastic Surgery S.Eugenio - CTO Hospital of Rome
Read the Original
This page is a summary of: Ischiatic pressure sores: our experience in coupling a split-muscle flap and a fasciocutaneous flap in a ‘criss-cross’ way, Spinal Cord, March 2010, Springer Science + Business Media,
DOI: 10.1038/sc.2010.25.
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