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European Journal of Plastic Surgery

, Volume 36, Issue 10, pp 639–644 | Cite as

Biceps femoris flap for closure of ischial pressure ulcers

  • Nicolas BertheuilEmail author
  • Vincent Huguier
  • Sylvie Aillet
  • Marion Beuzeboc
  • Eric Watier
Original Paper

Abstract

Background

The surgical management of stages III and IV pressure ulcers in spinal cord injury patients is ussually based on a large debridment of necrotic tissue before performing a cover of the defect by a flap. The purpose of our study is to analyze our results in terms of morbidity and recurrence of pressure ulcers covered by biceps femoris musculocutaneous flap and compares it with literature data.

Methods

A retrospective clinical study of 23 consecutive patients operated for stage IV ischial pressure ulcers by biceps femoris flap was carried out. Other surgical techniques coverage of pressure ulcers as well as all patients with pressure ulcers on another anatomical location were excluded from this study. An analytical statistics in search of a risk factor for recurrence by log rank test was also performed.

Results

The mean follow-up was 68.4 months. Primary healing was obtained without complications in 30.8 and 38.4 % had a recurrence of the ulcer. Seroma was statistically correlated to a significant risk of recurrence of pressure ulcers (p = 0.0284, log rank test), as well as to drains removal before the eighth day (p = 0.0114).

Conclusions

Surgical management of ischial pressure ulcers remains as a difficult procedure with significant postoperative complications and a high recurrence rate.

Level of Evidence: Level IV, therapeutic study.

Keywords

Pressure ulcer Myocutaneous flap Biceps femoris flap Reconstructive surgery 

Notes

Acknowledgements

The authors wish to thank Dr Cédric Ménard for English language corrections of the manuscript and Dr Boris Campillo-Gimenez for statistical analysis.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Nicolas Bertheuil
    • 1
    • 2
    Email author
  • Vincent Huguier
    • 3
  • Sylvie Aillet
    • 1
  • Marion Beuzeboc
    • 1
  • Eric Watier
    • 1
  1. 1.Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital SudUniversity of Rennes 1RennesFrance
  2. 2.INSERM U917University of Rennes 1RennesFrance
  3. 3.Department of Plastic and Reconstructive SurgeryPoitiers University HospitalPoitiersFrance

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