Background: Pressure ulcer reconstruction remains a great
challenge for plastic surgeons because of their high postoperative
complication and recurrence rates. Commonly these
ulcers are reconstructed with random pattern flaps or myocutaneous
flaps. Gluteal artery perforator flaps have evolved in
the last few decades and became popular in reconstructing
pressure ulcers in the gluteal region because they preserve
the gluteal muscle, allowing for revision in cases of recurrence.
Objective: To evaluate the use of gluteal artery perforator
flaps in reconstructing pressure ulcers of the gluteal region
as regards aesthetic outcome, postoperative complications
and patients' psychological satisfaction.
Patients and Methods: Our study was conducted on 15
patients presented with grade IV pressure ulcers in the gluteal
region, in which their ulcers were reconstructed with gluteal
artery perforator flaps.
Results: Twelve (80%) patients healed eventually without
major complications. Two (13.3%) patients had wound edge
dehiscence, and only one (6.7%) patient had a donor site wide
scar. Patients were evaluated as regards aesthetic outcomes
and patients' psychological satisfaction, and the overall results
were satisfactory.
Conclusion: The superior and inferior gluteal artery
perforator flaps, with their safe anatomical basis, less morbidity
and versatility in designs, are reliable and effective alternatives
in reconstructing pressure ulcers of the gluteal region.