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

Atıf İçin Kopyala

Acarturk T. O.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, cilt.62, sa.11, ss.1497-1502, 2009 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 62 Sayı: 11
Basım Tarihi: 2009
Doi Numarası: 10.1016/j.bjps.2008.04.063
Dergi Adı: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Sayfa Sayıları: ss.1497-1502
Çukurova Üniversitesi Adresli: Hayır

Özet

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.