Application of superior gluteal artery perforator flap in repairing sacrococcygeal pressure sores

ObjectiveTo investigate the effects of superior gluteal artery perforator flap in repairing sacrococcygeal pressure sores.

MethodsTwenty patients with sacrococcygeal pressure sores were repaired with superior gluteal artery perforator flap.The formation time of pressure sores ranged from 3 months to 10 years, the size of pressure sores ranged from 8 cm×7 cm to 16 cm×12 cm, and the size of flaps ranged from 14 cm×6.5 cm to 20 cm×18 cm.

ResultsThree cases with partial necrosis of flap were the secondary healing after symptomatic treatment, 1 case with vein congestion and swelling at postoperative 2 days was treated with partial debridement and superior gluteal artery perforator flap repair, and the primary healing and good growth of free skin in the donor area in 16 cases were identified.All cases were followed up for 1 year, the shape of the flap area was good, the shape and function of gluteus maximus were intact, and there was not local recurrence.

ConclusionsSuperior gluteal artery perforator flap can provide rich blood supply, has high survival rate and flexible design, which is an ideal method to repair sacrococcygeal pressure ulcer wound.