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Several types of gluteus maximus musculocutaneous flaps for closure of sacral decubitus ulcer — refinements in design

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Summary

The selection of gluteus maximus musculocutaneous flaps and the appropriate designs of such flaps are described. These flaps are based on either the superior gluteal pedicle or the inferior gluteal pedicle. Knowledge of the pedicle's position in relation to the skin surface is essential for correct design of the flap. We have treated 34 cases of sacral decubitus ulcer in which we have accomplished reconstruction with various types of gluteus maximus musculocutaneous flaps. Four representative cases are presented.

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References

  1. Baek SM, Williams GD, McElhinney AJ, Simons BE (1980) The gluteus maximus myocutancous flap in the management of pressure sores. Ann Plast Surg 5:471

    Google Scholar 

  2. Bostwick J, Moore J, McGarity WC (1988) Inferior gluteal musculocutaneous flap for the obliteration of acute and chronic proctocolectomy defects. Surg Gynecol Obstet 16:169

    Google Scholar 

  3. Dirnberger F (1988) The nontypical gluteus maximus flap. Plast Reconstr Surg 81:567

    Google Scholar 

  4. Fisher J, Arnold PG, Waldorf J, Woods JE (1983) The gluteus maximus' musculocutaneous V-Y advancement flap for large sacral defects. Ann Plast Surg 11:517

    Google Scholar 

  5. Ger R (1971) The surgical management of decubitus ulcers by muscle transposition. Surgery 69:106

    Google Scholar 

  6. Ger R, Levine SA (1976) The management of decubitus ulcers by muscle transposition. Plast Reconstr Surg 58:419

    Google Scholar 

  7. Heywood AJ, Quaba AA (1989) Modified gluteus maximus V-Y advancement flaps. Br J Plast Surg 42:263

    Google Scholar 

  8. Maruyama Y, Nakajima H, Wada M, Imai T, Fujino T (1980) A gluteus maximus myocutaneous island flap for the repair of a sacral decubitus ulcer. Br J Plast Surg 33:150

    Google Scholar 

  9. Minami RT, Mills R, Pardoe R (1977) Gluteus maximus myocutaneous flaps for repair of pressure sores. Plast Reconstr Surg 60:242

    Google Scholar 

  10. Parry SW, Mathes S (1982) Bilateral gluteus maximus myocutaneous advancement flaps: sacral coverage for ambulatory patients. Ann Plast Surg 8:443

    Google Scholar 

  11. Ramirez OM, Orlando JC, Hurwitz DJ (1984) The sliding gluteus maximus myocutaneous flap: its relvance in ambulatory patients. Plast Reconstr Surg 74:68

    Google Scholar 

  12. Ramirez OM, Hurwitz DJ, Futrell JW (1984) The expansive gluteus maximus flap. Plast Reconstr Surg 74:757

    Google Scholar 

  13. Scheflan M, Nahai F, Bostwick J (1981) Gluteus maximus island musculocutaneous flap for closure of sacral and ischial ulcers. Plast Reconstr Surg 68:533

    Google Scholar 

  14. Stevenson TR, Pollock RA, Rohrich RJ, VanderKolk CA (1987) The gluteus maximus musculocutaneous island flap: Refinements in design and application. Plast Reconstr Surg 79:761

    Google Scholar 

  15. Stockarova D, Pilnacek J, Rubin J (1985) Gluteus maximus musculocutaneous island flaps and their use in sacral decubitus ulcers. Acta Chir Plast 27:176

    Google Scholar 

  16. van Twisk, Borghouts JMHM (1986) The gluteus maximus musculocutaneous flap as bilateral V-Y sliding flap or pendulum flap for closure of sacral and ischial pressure sores. Chir Plastica 8:215

    Google Scholar 

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Requests for reprints: A. Yanai, M.D.

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Yanai, A., Kosaka, Y. & Teraoka, A. Several types of gluteus maximus musculocutaneous flaps for closure of sacral decubitus ulcer — refinements in design. Eur J Plast Surg 14, 157–163 (1991). https://doi.org/10.1007/BF00734416

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  • DOI: https://doi.org/10.1007/BF00734416

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