Recidivating pressure sores are a frequent complication in meningomyelocele patients because of their limitation in motility and their scarce ability to monitor the pressure applied on insensate areas while seated. We report the utilization of the sensate pedicled anterolateral thigh perforator flap for reconstruction of ischiatic sores in meningomyelocele patients. Between May 2011 and September 2013, five patients underwent transfer of a sensate pedicled anterolateral thigh flap, by an intermuscular passageway through the upper thigh, to reach the ischial defect. Flap was properly harvested from the thigh after assessment of the lateral cutaneous femoral nerve sensitive area with the Pressure-Specified Sensory Device. In all cases the flap reached the ischial defect harmlessly, healing was uneventful with no immediate nor late complications. Each patient showed persistence of sensitivity at the reconstructed area and no recurrent ischiatic sore was observed at mean follow-up of 26.4

Sensate anterolateral thigh perforator flap for ischiatic sores reconstruction in Meningomyelocele patients / SANTANELLI DI POMPEO, Fabio; Longo, Benedetto; Pagnoni, Marco; Laporta, Rosaria. - In: MICROSURGERY. - ISSN 0738-1085. - STAMPA. - (2014). [10.1002/micr.22330]

Sensate anterolateral thigh perforator flap for ischiatic sores reconstruction in Meningomyelocele patients

SANTANELLI DI POMPEO, Fabio;LONGO, Benedetto;PAGNONI, MARCO;LAPORTA, ROSARIA
2014

Abstract

Recidivating pressure sores are a frequent complication in meningomyelocele patients because of their limitation in motility and their scarce ability to monitor the pressure applied on insensate areas while seated. We report the utilization of the sensate pedicled anterolateral thigh perforator flap for reconstruction of ischiatic sores in meningomyelocele patients. Between May 2011 and September 2013, five patients underwent transfer of a sensate pedicled anterolateral thigh flap, by an intermuscular passageway through the upper thigh, to reach the ischial defect. Flap was properly harvested from the thigh after assessment of the lateral cutaneous femoral nerve sensitive area with the Pressure-Specified Sensory Device. In all cases the flap reached the ischial defect harmlessly, healing was uneventful with no immediate nor late complications. Each patient showed persistence of sensitivity at the reconstructed area and no recurrent ischiatic sore was observed at mean follow-up of 26.4
2014
pressure sore; meningomeylocele
01 Pubblicazione su rivista::01a Articolo in rivista
Sensate anterolateral thigh perforator flap for ischiatic sores reconstruction in Meningomyelocele patients / SANTANELLI DI POMPEO, Fabio; Longo, Benedetto; Pagnoni, Marco; Laporta, Rosaria. - In: MICROSURGERY. - ISSN 0738-1085. - STAMPA. - (2014). [10.1002/micr.22330]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/599996
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