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...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2009-02-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.53025 |
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| author | Sandeep Mehrotra |
| author_facet | Sandeep Mehrotra |
| author_sort | Sandeep Mehrotra |
| 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. |
| format | Article |
| id | doaj-art-8dfab750521a451dbaa2d8cc7630049d |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2009-02-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-8dfab750521a451dbaa2d8cc7630049d2025-01-23T23:44:46ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-02-01420112612910.4103/0970-0358.53025Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for coverSandeep Mehrotra0Reconstructive Surgery Centre, Command Hospital (Eastern Command), Alipore, Kolkata – 700027, IndiaPressure 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.thieme-connect.de/DOI/DOI?10.4103/0970-0358.53025Pedicled perforator chimeric flapPressure soreTrochanteric sore |
| spellingShingle | Sandeep Mehrotra 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.thieme-connect.de/DOI/DOI?10.4103/0970-0358.53025 |
| work_keys_str_mv | AT sandeepmehrotra gianttrochantericpressuresoreuseofapedicledchimericperforatorflapforcover |