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Ischial pressure ulcers: long-term outcome of 2 surgical techniques

Abstract : BACKGROUND: The aim of our study was to analyze which of these 2 techniques (biceps femoris myocutaneous flap vs gluteus maximus myocutaneous flap) gave the best result for ischial pressure ulcers treatment. METHODS: A retrospective comparative analysis of medical records for stage III and IV pressure ulcers was conducted between the 2 groups by Fisher exact test for categorical variables (significance level P \textless0.05) followed by a survival analysis by the Kaplan-Meier method. RESULTS: Twenty-five patients were treated with biceps femoris flap against 8 patients with gluteus maximus flap, primary healing was obtained without complications in 32% of cases in biceps femoris group versus 62.5% in gluteus maximus group. No surgical techniques were statistically correlated with a lower recurrence (32% vs 0%, P = 0.152). CONCLUSIONS: We had no significant difference in recurrence rate between the 2 flaps. However, we had less morbidity in gluteus maximus flap group; indeed, we had zero rate of reoperation and a zero rate of recurrence. For that reason, we think that gluteus maximus flap seems to be the best technical coverage of ischial pressure ulcers
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01187411
Contributor : Laurent Jonchère <>
Submitted on : Wednesday, August 26, 2015 - 4:30:29 PM
Last modification on : Monday, March 23, 2020 - 11:46:16 AM

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Nicolas Bertheuil, Sylvie Aillet, Jean-Laurent Heusse, Mamdouh Tawfik, Boris Campillo-Gimenez, et al.. Ischial pressure ulcers: long-term outcome of 2 surgical techniques. Annals of Plastic Surgery, Lippincott, Williams & Wilkins, 2014, 73 (6), pp.686--691. ⟨10.1097/SAP.0b013e31828587f0⟩. ⟨hal-01187411⟩

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