Reconstruction of recurrent ischiadic pressure ulcer using turnover hamstring muscle flap

Authors

ČERNOCH Filip JELÍNKOVÁ Zuzana ROTSCHEIN Pavel

Year of publication 2019
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.prolekare.cz/casopisy/ceska-slovenska-neurologie/2019-supplementum-1-2/vyuziti-svaloveho-laloku-v-rekonstrukci-recidivy-ischiadickeho-dekubitu-116540/download?hl=cs
Doi http://dx.doi.org/10.14735/amcsnn2019S15
Keywords pressure ulcers; ischiadic pressure ulcer; reconstruction; muscle flap
Description Aim: Our aim was to analyze the results of surgical reconstruction of recurrent ischiadic pressure ulcer using the turnover hamstring flap and to describe the re-use of turnover biceps femoris flap in recurrent ischiadic pressure ulcer. Materials and methods: There were 16 patients included in our study (15 male, with the mean age of 47 years), who underwent reconstruction of recurrent ischiadic pressure ulcer between 1. 1. 2016 and 31. 5. 2018 using the turnover hamstring muscle flap in combination with fasciocutaneous posterior thigh flap. The recurrence and complications during the one-year follow-up were recorded. Results: There was one recurrence (6.25%) and five complications (31.25%) during the one-year follow-up. All complications were healed conservatively (without surgery). Conclusion: The recurrence of ischiadic pressure ulcer depends not only on the method of surgical reconstruction, but also on the general and nutritional state of the patient, compliance of the patient and other factors. The turnover hamstring muscle flap seems as a reasonable option for reconstruction of the recurrent ischiadic pressure ulcer.

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