THE CLINICAL USES OF GLUTEUS MAXIMUS MYOCUTANEOUS FLAPS.

Cho, Bek Hyun; Kim, Kwang Seog; Yoon, Kang Mo; Choi, Kwang Rim; Lee, Jang Hyuk; Lee, Sam Yong

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(1):163-172.
Published online January 1, 1997.

THE CLINICAL USES OF GLUTEUS MAXIMUS MYOCUTANEOUS FLAPS.

Bek Hyun Cho, Kwang Seog Kim, Kang Mo Yoon, Kwang Rim Choi, Jang Hyuk Lee, Sam Yong Lee

Department of Plastic and Reconstructive Surgery, Chonnam University Medical School.

Abstract

Ulcer in buttock is mainly a pressure sore, which is frequently occurred at the sacral region in Korea and its surgical treatment is chiefly the operation using gluteus maximus myocutaneons flaps. For the treatment of ulcerated lesion in gluteal area, various methods using gluteus maximus muscle have been developed. We reviewed and analyzed the 100 cases using gluteus maximus myocutaneous flaps in our department since 1980. The results were summarized as follows ; 1) The ratio between male and female was 3:1. 2) The prevalent age groups were between third and fifth decades. 3) The main cause was the trauma. 4) The wound culture showed the pattern of mixed infections in most cases, consisting of Staphylociccus, Pseudomonas, Enterococcus, Streptococcus, and others. 5) The postoperative complications were noted in about thirty percent of the cases. The complications were flap tip necrosis, wound infection, wound disruption, and others. 6) For the treatment of small ulcers, a pure skin flap or myoplasty may be used, but for the treatment of large one, a kind of myocutaneous flap should be selected. 7) Gluteus maximus myocutaneous flaps can be used as variable methods, but of which the island flap is ideal in deep and large ulcerated lesion.

Keywords: Ulcerated lesion in gluteal area; Gluteus maximus myocutaneous flap