Treatment of large ischial ulcers communicating with the hip joint with proximal femoral resection and reconstruction with a combined vastus lateralis, vastus intermedius and rectus femoris musculocutaneous flap

Acarturk, Tahsin

doi:10.1016/j.bjps.2008.04.063

Treatment of large ischial ulcers communicating with the hip joint with proximal femoral resection and reconstruction with a combined vastus lateralis, vastus intermedius and rectus femoris musculocutaneous flap

Copy For Citation

Acarturk T. O.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, vol.62, no.11, pp.1497-1502, 2009 (SCI-Expanded)

Publication Type: Article / Article
Volume: 62 Issue: 11
Publication Date: 2009
Doi Number: 10.1016/j.bjps.2008.04.063
Journal Name: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Page Numbers: pp.1497-1502
Çukurova University Affiliated: No

Abstract

Pressure ulcers which communicate with the hip joint are very difficult to treat. Often, the hip joint is infected with osteomyelitis of the proximal femur resulting in bouts of sepsis and flap failure. These patients require proximal femoral resection and wide debridementin order to eradicate the infection, which in turn results in large and deep cavities. Reconstruction requires either a muscle flap or even a total thigh flap if the defect is very large and the pelvis is involved.