How are myocutaneous flaps used in the treatment of pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Myocutaneous (musculocutaneous) flaps are usually the best choice for patients with spinal cord injuries (SCIs) and for those who have a loss of muscle function that does not contribute to a comorbidity. For patients who are ambulatory, the choice is less clear, in that the improved blood supply and reliability of the muscle flap must be balanced against the need to sacrifice functional muscle units. [156, 157, 158]

Myocutaneous flaps can help heal osteomyelitis and limit the damage caused by shearing, friction, and pressure. [159, 160, 161] They bring muscle and skin to the area of the defect and are probably as resistant to future pressure injuries as the original skin.


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