V–Y advancement gluteus maximus fasciocutaneous flap—A useful flap for sacral defects

Abstract

Introduction: This study was done to evaluate the usefulness of V–Y advancement gluteus maximus fasciocutaneous flap in the management of sacral defects. Material and methods: A total of 15 patients with sacral defects either due to sacral pressure sores or defects following excision of sacral soft tissue tumors were treated using this technique in a single stage. The size of the defect and postoperative complications in each patient were assessed. The follow-up period was a minimum of 1 year. Results: All wounds healed with no recurrence. During follow-up, two patients had wound healing problems with wound discharge which healed with dressings within 2 months. Conclusion: The use of V–Y advancement gluteus maximus fasciocutaneous flap offers an easy and safe flap in sacral defect reconstruction.