How are sacral pressure injuries (pressure ulcers) reconstructed?

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

Small sacral pressure injuries can be reconstructed with an inferiorly based skin rotation flap, with or without a superior gluteus maximus myocutaneous flap (see the images below). The use of the random skin rotation flap does not preclude later use of the gluteus maximus. When a random skin rotation flap is used, it is essential to design a large and wide flap with an axis of rotation that permits tension-free closure.

 

Small sacral pressure sores can be reconstructed w Small sacral pressure sores can be reconstructed with the inferior-based skin rotation flap, with or without the superior gluteus maximus myocutaneous flap.

 

Small sacral pressure ulcer reconstructed with inf Small sacral pressure ulcer reconstructed with inferiorly based skin rotation flap.

 

Small sacral pressure ulcer reconstructed with inf Small sacral pressure ulcer reconstructed with inferiorly based skin rotation flap.

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