Open AccessMedial circumflex femoral artery flap for ischial pressure sore
Author(s) -
Sangeetha Tandalam Palanivelu
Publication year - 2009
Publication title -
indian journal of plastic surgery/indian journal of plastic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.299
H-Index - 29
eISSN - 1998-376X
pISSN - 0970-0358
DOI - 10.4103/0970-0358.45028
Subject(s) - medicine , pressure sores , circumflex , anatomy , biceps , medial compartment of thigh , thigh , femoral artery , deep femoral artery , posterior compartment of thigh , surgery , ischium , artery , pelvis
A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap.