Revista chilena de cirugía
On-line version ISSN 0718-4026
CALDERON O, WILFREDO et al. Treatment of trochanteric pressure sores with V-Y and tensor fasciae latae flaps. Rev Chil Cir [online]. 2009, vol.61, n.5, pp. 429-432. ISSN 0718-4026. doi: 10.4067/S0718-40262009000500005.
Background: Trochanter pressure sores can be treated with random, myocutaneous, fasciocutaneous or free flaps. Aim: To report the use of V-Y and tensor fasciae latae flaps for the treatment of trochanteric pressure sores. Material and Methods: Prospective study of 14 males and two females aged 24 to 64 years, with 17 sores. The surgical technique consisted in the design of a V shaped flap with irrigation in its superior base and lower vertex with one of its extremes in contact with the sore. A resection is made until a vital base is obtained, excising the prominent bone until a plane in which healthy tissue is seen. The flap is raised and rotated, covering the defect. A V-Y primary closure without tensión is performed, leaving drainages that are withdrawn ten days later. Results: The complications recorded were three serranas, which were treated using a closed system with external and internal negative pressure. Two wound dehiscence episodes and two hematomas required a surgical correction. Conclusions: This type of flap is other therapeutic alternative for pressure trochanteric sores.
Keywords : Trochanteric sores; surgical flaps; pressure ulcers.