Clinical application of improved technique in repairing ischial tuberosity pressure ulcer with lower gluteus maximus rhom-boid myocutaneous flap
WANG Xin
YUE Liming
MA Zhiguo
ZHAO Fenglin
WU Peng
Abstract：Objective To report a surgical approach for the repairing pressure ulcers on the ischial tuberosity using an improved lower gluteus maximus rhomboid muscle flap,and to evaluate its safety and clinical outcomes.Methods From June 2019 to July 2022,a retrospective analysis was conducted on five patients with paraplegia and stage Ⅳ sciatic tuberosity pressure ulcers,treated from Depart-ment of Burns and Plastic Surgery,Jinan Third People's Hospital.The ulcers were repaired using a modified rhomboid flap of the lower glu-teus maximus muscle combined with a layer-by-layer progressive tension-reducing suture technique.Results Postoperative follow-up ranged from 3 months to 3 years,with an average duration of 1 year.All flaps survived successfully,exhibiting a full shape,soft texture,and wear resistance.No complications such as hematomas or flap necrosis occurred,and no recurrence of pressure ulcers was observed follow-ing.Conclusion The modified rhomboid flap of the lower gluteus maximus muscle,combined with a layer-by-layer progressive ten-sion-reducing suture technique,is an effective approach for repairing sciatic tuberosity pressure ulcers.This method offers advantages such as ease of operation,minimal complications,and durable flaps.
Keywords：Myocutaneous flapPressure ulcerSciatica nodosaComplications
Publication Date：2025-03-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 158-159,166 )