Ann Plast Reconstr Surg | Volume 3, Issue 2 | Case Report | Open Access

Double Flap for Trochanteric Pressure Sore Reconstruction: A Case Report

Luca Negosanti^1*, Sara Tedeschi², Fabio Filippo Trapani², Luca Gaiani³, Massimo Palmonari³, Donatella Brillanti Ventura¹, Rita Capirossi¹, Micaela Battilana¹ and Rossella Sgarzani⁴

¹Department of Plastic Surgery, Montecatone Rehabilitation Institute, Italy
²Division of Infectious Diseases, S. Orsola-Malpighi University Hospital, Italy
³Division of Orthopedics Surgery, S. Maria della Scaletta Hospital, Italy
⁴Department of Plastic Surgery, AUSL Romagna, Italy

^*Correspondance to: Luca Negosanti 

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Abstract

Introduction: Trochanteric pressure sores can be quite difficult to treat; especially in case of large bone involvement that requires a wide debridement. The residual wound is large, deep and the reconstruction must ensure a complete fill of all death spaces then it must be covered with an adequate tissue to allow the healing and reduce the risk of recurrence. Case
Presentation: We report the case of a spinal cord injured patient affected by a trochanteric pressure sore. The reconstruction was achieved using a combination of a muscle and a muscle cutaneous flap from the thigh. The result was a complete healing of the wound with no recurrence at 18 months.
Conclusion: In this cases muscle or musculocutaneous flaps are the better choice because they permits to use a good volume of viable tissue. In some cases that flap can be combined to obtain a better result.

Keywords:

Trochanteric pressure; Musculocutaneous flaps; Adequate tissue

Citation:

Negosanti L, Tedeschi S, Filippo Trapani F, Gaiani L, Palmonari M, Brillanti Ventura D, et al. Double Flap for Trochanteric Pressure Sore Reconstruction: A Case Report. Ann Plast Reconstr Surg. 2019;3(2):1029.