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The superior gluteal artery perforator flap for reconstruction of sacral sores

Weijian Chen, Bo Jiang, Jiaju Zhao and Peiji Wang
Saudi Medical Journal October 2016, 37 (10) 1140-1143; DOI: https://doi.org/10.15537/smj.2016.10.15682

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  • Figure 1
    Figure 1

    Photograph showing A) a 47-year-old female involved in a traffic accident with right femoral shaft fracture, bedridden long-term lead to a sacral sore with the size of 5×6 cm2 after debridement. B) The superior gluteal artery perforator (SGAP) flap with the size of 7×20 cm2 was harvested to cover the defect. C) The operative region was closed primarily without tension, suction drainages were applied under the flap and defect. D) The flap survived and healed primary. After 10 months of follow-up, there was no donor site morbidity, no recurrence, the texture, functions and appearance of flaps were satisfactory.

  • Figure 2
    Figure 2

    Photograph showing A) a 38-year-old paraplegic man with severe spinal cord injury and developed a deep sacral and 2 trochanteric pressure sores. The defect of sacral region measured 8×9 cm2 after debridement. B) A flap of 9×16 cm2 based on a superior gluteal artery perforator was harvest to reconstruct the defect, the wound of trochanteric pressure sores was closed directly after excised the necrotic tissue and granulation tissue. C) The flap survived and healed primary after 10 days postoperative. D) With a follow-up of 2 years, the original sacral sore region and ischial pressure ulcers were uneventful.

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