[Comparative study of 2 surgical techniques in the treatment of ischial pressure ulcers in paraplegic patients. Retrospective study of 90 cases].

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 scores and the VY bomstring flap for the big one which are near the anus.