Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 27 , ISSUE 1 ( March, 2016 ) > List of Articles

RESEARCH ARTICLE

Management of Sacral Pressure Sore by Clinically Isolated Superior Gluteal Artery Perforator-based Fasciocutaneus Flap in Patients with Spinal Cord Injury

S P Das, Mamtamanjari Sahu, Pramod Kumar Parida

Citation Information : Das SP, Sahu M, Parida PK. Management of Sacral Pressure Sore by Clinically Isolated Superior Gluteal Artery Perforator-based Fasciocutaneus Flap in Patients with Spinal Cord Injury. Indian J Phy Med Rehab 2016; 27 (1):14-18.

DOI: 10.5005/ijopmr-27-1-14

Published Online: 00-03-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective of the study

Observation on management of sacral pressure sore by superior gluteal arterial perforatorbased flap using anatomical land marks in the absence of facility of Doppler probe for isolation of superior gluteal arterial perforators.

Materials and methods

Thirteen patients of spinal cord injury presented with sacral pressure sore were managed surgically using superior gluteal artery perforator-based flap coverage. The location of the artery was identifi ed using anatomical land marks. In 10 patients the flap was heeled uneventfully, one had signifi cant complication with wound dehiscence.

Conclusions

Management of sacral pressure sore by superior gluteal arterial perforator-based flap using anatomical land marks is a simple and reliable procedure. The learning curve is not that stiff. Sophisticated instruments are not required for this procedure.


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