Management
In a series of 15 patients treated with double adipofascial turnover flaps, 86.7% (13 out of 15) of the flaps healed primarily over an average follow-up period of 93.6 months [PMID:19801917].
In a series of 15 patients with 16 recurrent ischial pressure sores treated between May 2003 and April 2005, all donor sites were closed primarily, and 15 out of 16 flaps survived completely [PMID:17493884].
The study reports no difficulty in transferring the flap directly through the upper thigh to reach the ischial defect in any of the patients [PMID:17493884].
Complications
One patient experienced a recurrent grade II ischial pressure sore 11 months post-operation, indicating potential for recurrence despite initial successful flap coverage [PMID:19801917].
One case of total necrosis occurred in a vastus lateralis myocutaneous flap located at the distal third of the thigh, indicating potential complications in more distant flap segments [PMID:17493884].
Prognosis & Follow-up
The study reported a mean follow-up period of 93.6 months with only one recurrence among 15 patients, suggesting favorable long-term prognosis [PMID:19801917].
References
1 Lin H, Hou C, Xu Z, Chen A. Treatment of ischial pressure sores with double adipofascial turnover flaps. Annals of plastic surgery 2010. link 2 Lee JT, Cheng LF, Lin CM, Wang CH, Huang CC, Chien SH. A new technique of transferring island pedicled anterolateral thigh and vastus lateralis myocutaneous flaps for reconstruction of recurrent ischial pressure sores. Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2007. link
2 papers cited of 3 indexed.