Resolución de úlcera trocantérea mediante colgajo musculocutáneo de fascia lata en isla con cierre en V-Y

Abstract

colgajo musculocutáneo ABSTRACT Background. Trochanteric ulcer is one of the most frequent pressure sore and is usually related with bursitis, therefore its treatment is complex. Material and Methods. We present a case of a 29 year-old male patient with me- dical history of spinalcord injury (SCI) related to flaccid paraplegia and the deve lopment of right trochanteric vertical elliptical sore. He was treated by a multi- disciplinary team and solved by the resection of the pathology and immediate reconstruction with tensor fascia lata (TFL) musculo cutaneous flap. Results. The patient was discharged from the institution on the 21st postopera-tive day. With a follow-up of a 6 months period, complications such as wound in- fection, suture dehiscense or recurrence were not observed. Aesthetic and func-tional results were satisfactory. Conclusion. Ascended TFL flap with a V-Y closure is a reproducible, reliable and versatile procedure for the coverage of trochanteric pressure sore defects. However all surgical techniques tages must be considered in order to avoid com- plications and recurrence of the disease.