ABSTRACT: To explore the clinical value of repairing extensive gluteal-sacral defects with the posterior femoral cutaneous neurovascular island flap.
From July 2002 to May 2005, the posterior femoral cutaneous neurovascular flap was applied to repairing extensive gluteal-sacral defects in 6 patients (3 males, 3 females; aged 31-59 years). Three patients had a skin defect in the gluteal-sacral region caused by squamous cell carcinoma, 1 patient had the defect in the same region caused by malignant fibrohistiocytoma, and 2 patients had the defect caused by bedsores of grade III . The area of defects ranged from 15 cm X 8 cm to 16 cm X 10 cm. The flaps ranged in area from 15 cm x 8 cm to 18 cm x 10 cm.
In all the 6 patients had their flaps survived well and the wounds gained the primary healing. The follow-up for 2. 5-12 months revealed that, flaps were satisfactory in their appearance, texture, and sensory functions.
The repair of extensive gluteal-sacral defects with the posterior femoral cutaneous neurovascular island flap has advantages of the unchanged anatomic structures, reliable blood supply, easy dissection for extensive defects, good sensory recovery, and sacrificing no major vessels; therefore, this kind of repair is an optimal approach to repairing extensive gluteal-sacral defects.
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery 01/2007; 20(12):1205-7.