Reconstruction of the Gluteal, Sacral, and Trochanteric Regions

Basic Principles

Surgical treatment methods for pressure sores have undergone a number of changes over the years, from the use of a local flap to a musculocutaneous flap, then to a fascial flap and perforator flap, with methods chosen today that minimize loss of muscle. The reason behind this is that there is no guarantee that the use of muscle in a musculocutaneous flap is useful in preventing recurrence, and that there is no difference in the recurrence rate whichever surgical method is used. Therefore, the first option is always conservative therapy, and when selecting surgery, the method with the least invasion is chosen wherever possible.

The difficulty level of each surgical procedure is shown subsequent to the procedure title (e.g., Level of Difficulty: 2). The levels range from 1 to 5, with level 1 indicating a preliminary level and level 5 indicating a very advanced level.