Perforator Flap is Better Option for Sacral Pressure Ulcer Repair because of Fewer Complications: Comparative Study of 20 Perforator and 11 Rotation Flap Surgeries

Pressure ulcers classified as Stage IV (according to National Pressure Ulcer Advisory Panel staging guidelines) [1] take a long time to heal, and may cause serious infections, such as osteomyelitis and sepsis [2-5]. Thus, they usually require surgical repair using a muscle or fasciocutaneous flap (according to International Guidelines). Treatment of Pressure Ulcers: Quick Reference Guide) Gluteal fasciocutaneous flaps are commonly preferred, because they facilitate the preservation of the gluteal muscle integrity and muscle function [6]. They are also expected to provide better long-term results following the surgical reconstruction of pressure ulcers than the myocutaneous or muscle flap [7]. Traditionally, the gluteal fasciocutaneous rotation flap technique has been chosen for the reconstruction of sacral pressure ulcers.