Use of a Total Leg Fillet Flap to Cover Multiple Pelvic Pressure Ulcers

Georgiou, Iakovos; Kruppa, Philipp; Ghods, Mojtaba

doi:10.1097/gox.0000000000002084

Cited by 4 publications

(9 citation statements)

References 6 publications

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“…The advantage of fillet flap is offering secure cutaneous skin resurfacing, robust tissue for padding, pelvic stability resumption, and the obliteration of the dead space caused by pressure injuries. 8,9 These reconstruction goals help to achieve durable wound coverage, infection resolution, and daily life activity restoration. However, case series showed that the complication of the fillet flap procedure ranges from superficial skin necrosis, wound dehiscence, flap failure, to abscess formation.…”

Section: Discussionmentioning

confidence: 99%

“…2 For patients with ischial and sacral pressure ulcers, temporary colostomy should be considered before fillet flap reconstruction. 9 Overall, the fillet flap technique provides a safe, secure, and single-staged way to manage end-stage pressure injuries in a paraplegic SCI patient. Its indications are (1) multiple or recurrent pressure injuries lacking adjacent tissue coverage, (2) extensive pressure injuries without satisfactory local or rotational flap, and (3) pressure injuries with severe hip and knee joint contractures resulting in nonfunctional lower limbs.…”

Section: Discussionmentioning

confidence: 99%

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Double Fillet Flap for End-Stage Pelvic Pressure Injuries in a Paraplegic Patient

Wang

Lin

Huang³

2022

Ann Plast Surg

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Recurrent pelvic pressure injuries are common among paraplegic patients with spinal cord injury. Most of them experienced multiple surgical treatments because of recurrence. Based on the "spare part" concept, the double fillet flap is feasible when all other reconstructive procedures were exhausted. In this case report, we present the double fillet flap technique to manage recurrent extended pelvic pressure ulcers in a paraplegic spinal cord injury patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Double Fillet Flap for End-Stage Pelvic Pressure Injuries in a Paraplegic Patient

Wang

Lin

Huang³

2022

Ann Plast Surg

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“…11). 59 Those cases often present with extensive osteomyelitis recalcitrant to antibiotic therapy and surgical débridement. It is difficult to convince the patient that amputation is the best option for treatment, even in the cases of nonfunctional limbs.…”

Section: Multiple Ulcersmentioning

confidence: 99%

Best Solutions for Perineal and Pressure Sore Reconstruction

Bialowas

Nguyen

Patel

2021

Plastic &Amp; Reconstructive Surgery

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erineal defects and pressure sores are frequently encountered in practice, and their management may be challenging. Colorectal cancer is the third most common cancer in the United States, with an estimated 43,300 new cases diagnosed in 2020. 1,2 An estimated 2.5 million patients yearly are treated for pressure ulcers. 3 Management of these conditions can be associated with complication rates as high as 66 percent in some series, which further compounds the costs and implications of managing these wounds. [4][5][6][7][8][9][10] Even with optimized care, they still represent a tremendous burden to health care systems, costing upward of $9.1 billion dollars per year. 3 The goal of this article is to provide an update on the newly available evidence in the management of perineal defects and pressure sores by addressing knowledge gaps and areas of controversy that exist in the reconstruction of these defects. PERINEAL RECONSTRUCTIONMany factors are known to affect the outcomes of perineal defect reconstruction. [10][11][12][13] These factors need to be considered and optimized to achieve successful reconstruction of perineal defects (Table 1). Although the restoration of sexual function is an important part of the reconstructive process, its discussion is beyond the scope of this review.Perineal reconstruction can be complicated in patients who require neoadjuvant radiation therapy before resection. Studies have shown a significant difference in local recurrence rates with increased circumferential resection margins. Patients with 10-mm margins have a 5-year survival rate of 80 percent in comparison to a 34 percent 5-year survival rate in patients with less than 1-mm

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“…En una revisión hasta 2016, realizado por McCarthy, 9 sólo había siete artículos que se referían a los colgajos en filete parciales o totales de la extremidad inferior para el cierre de úlceras de presión; sin embargo, en nuestra revisión, la cual abarca hasta 2019, solamente hay tres autores que utilizan prácticamente la totalidad de la extremidad inferior para el cierre de las úlceras complejas 2,7,8 que, como norma, abarcan úlceras de ambos lados de la línea media, es decir, coexisten úlceras derechas e izquierdas en el mismo paciente. Por lo tanto, se requiere de un colgajo que cubra la máxima longitud del defecto, usando como punto-pivote una de las caderas para alcanzar la otra.…”

Section: Wwwmedigraphicorgmxunclassified