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The modified bilobed flap for reconstructing sacral decubitus ulcers

Burns & Trauma 2020年第1期8卷 24-29页

作者： Xiangong Jiao Chunxiao Cui Sally Kiu-Huen Ng Zhangjia Jiang Chihui Tu Jiemin Zhou Xiandong Lu Xianwen Ouyang Tong Luo Ke Li Yixin Zhang Plastic Reconstructive and Burn CentreLiuyang People’s Hospital49 Renmin Middle RoadLiuyang 410300HunanChina ENT Institute Eye&ENT HospitalFudan University83 Fenyang RoadShanghai 200011China Department of Facial Plastic and Reconstructive Surgery Eye&ENT HospitalFudan University83 Fenyang RoadShanghai 200011China NHC Key Laboratory of Hearing Medicine Fudan University83 Fenyang RoadShanghai 200011China Department of Plastic Surgery Austin Hospital145 Studley RoadMelbourne 3084Australia Department of Plastic and Reconstructive Surgery Shanghai Ninth People’s HospitalShanghai JiaoTong University School of Medicine639 Zhi Zao Ju RoadShanghai 200011China

Background:Sacral pressure ulcers are associated with high morbidity and,in some cases,result in mortality from severe *** flaps are frequently used for reconstruction of stage III and IV pressure *** ideal flap should be simple to design,have a reliable vascular supply and minimal donor site *** 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 *** presentation:We 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 *** 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 *** average size of the pressure ulcers was 7×5 cm(range 6.2×4.5 cm to 11×10 cm).All 7 flaps *** patients were followed up for 12 months without significant complications,such as flap necrosis or ***:The superficial branch of the superior gluteal artery or the posterior branch of the fourth lumbar artery reliably supplies the bilobed *** superior cluneal nerve can be included in the *** technique is simple and *** should be included in the reconstructive algorithm for the management of sacral pressure ulcers.

关键词： Sacrococcygeal Pressure sore superior cluneal nerve Bilobed flap superior gluteal artery Fourth lumbar artery

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