de la Fuente Teresa Pérez, González Isabel, Calderón-Muñoz Francisco
Department of Plastic and Reconstructive Surgery, Gregorio Marañón Hospital, Dr Esquerdo 46, Madrid 28007, Spain.
Int J Surg. 2008 Dec;6(6):e72-6. doi: 10.1016/j.ijsu.2007.03.005. Epub 2007 Mar 18.
Pressure sores, and especially ischial pressure sores, are a serious concern in the life of paraplegic patients. The treatment of this pathology is obviously surgery, and several local flaps can be used for coverage. However, recurrent pressure sores in an active patient can be frustrating if all local flaps have been used. Free flaps are therefore the next option. In our experience, the free medial gastrocnemius musculocutaneous flap is the best option. This paper reports the closure of ischial pressure sores with a free medial gastrocnemius flap, the patient selection criteria used, and the postoperative care provided.
压疮，尤其是坐骨压疮，是截瘫患者生活中的一个严重问题。这种病症的治疗显然是手术，并且可以使用几种局部皮瓣进行覆盖。然而，如果所有局部皮瓣都已使用过，对于活跃患者反复出现的压疮可能会令人沮丧。因此，游离皮瓣是下一个选择。根据我们的经验，游离腓肠内侧头肌皮瓣是最佳选择。本文报告了使用游离腓肠内侧肌皮瓣闭合坐骨压疮的情况、所采用的患者选择标准以及术后护理。
