Etude comparative de deux techniques chirurgicales dans le traitement de l'escarre ischiatique chez le handicape moteur. Etude retrospective de 90 cas

This is a retrospective study concerning 90 paraplegic or tetraplegic patients with ischial pressure sores. Sixty-two patients were treated by gluteus maximus musculocutaneous island flap and 28 by VY hamstring myocutaneous flap. The authors describe the surgical technique of the two flaps. It is a one time surgery (excision and flap). There were 25% immediate complications for the patients who had VY hamstring myocutaneous flap and 27% for those who had gluteus maximus musculocutaneous island flap. There were 35% mid- and long-term recurrences with VY hamstring myocutaneous flap and 50% with gluteus maximus musculocutaneous island flap. The authors now use the gluteus maximus island flap for the small pressure sores and the VY bornstring flap for the big one which are near the anus. (C) 2000 Editions scientifiques et medicales Elsevier SAS.