How is the superior portion of the gluteus maximus used in the reconstruction of sacral 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

When the superior portion of the gluteus maximus muscle is used as a flap, it is elevated in a lateral-to-medial direction to keep from injuring the superior gluteal artery, which can be difficult to identify from the medial direction because of the inflammation and scarring associated with the sacral pressure injury. The insertion of the superior portion of the gluteus maximus is the iliotibial tract; this insertion is released.


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