Eur J Plast Surg (2013) 36:397–398 DOI 10.1007/s00238-012-0805-0 LETTER TO THE EDITOR Salvage of a recurrent trochanteric pressure sore with coxofemoral osteoarthritis using a superficial inferior epigastric artery propeller flap Benoit Ayestaray Received: 23 November 2012 /Accepted: 16 December 2012 /Published online: 28 December 2012 Springer-Verlag Berlin Heidelberg 2012 Sir, were appropriate to raise a skin flap. The larger direct perfora- The recurrence of pressure sores remains a problem in tor of the SIEA had a 1.2-mm caliber, a 41-mm length, and the paraplegic patients. More than 35 % of operated patients ascendant directionality adequate for a large skin flap. The will have a recurrence [1–3]. Recurrent ulcers can occur surgery started by a large excision of the infected soft tissues after fasciocutaneous flaps and also musculocutaneous around the ulcer. A femoral head–neck resection was per- flaps. Then, flaps must be parsimoniously used for covering formed. After a large cleaning and freshening of the acetabu- pressure sores. The superficial inferior epigastric artery lum, the origin of the SIEAwas dissected. The dominant direct (SIEA) flap is well known as a free flap, especially for perforator was found and included in the flap. A skin paddle breast reconstruction. We report the
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2013
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