Original ArticleThe Propeller Flap Version of the Adductor Muscle Perforator Flap for Coverage of Ischial or Trochanteric Pressure SoresHallock, Geoffrey G. MDAuthor Information From the Division of Plastic Surgery, The Lehigh Valley Hospitals, Allentown, PA. Received and accepted for publication November 19, 2005. Presented in part at the Ninth International Course on Perforator Flaps, Barcelona, October 7, 2005 and the 22nd Annual Meeting of the Northeastern Society of Plastic and Reconstructive Surgeons, November 6, 2005. Reprints: Geoffrey G. Hallock, MD, 1230 S. Cedar Crest Blvd., Suite 306, Allentown, PA 18103. E-mail: pbhal[email protected]. Annals of Plastic Surgery: May 2006 - Volume 56 - Issue 5 - p 540-542 doi: 10.1097/01.sap.0000210512.81988.2b Buy Metrics AbstractIn Brief Recidivism after flap coverage of ischial and trochanteric pressure sores is predictably common. Available local flap options are limited in number and must be cautiously preserved as long as possible for these patients who are destined to have a lifelong vulnerability for recurrence. Muscle perforator flaps have been introduced as another set of alternatives to solve this conundrum. Since the posteromedial thigh often has been previously unviolated by the usual workhorse flaps selected for this problem, the adductor perforator flap will then usually still be available as an important “backup” option. If designed as a propeller flap, this version after rotation will cover the defect and simultaneously allow direct donor-site closure to avoid the need for a skin graft. Three ischial and/or trochanteric pressure ulcers were repaired with posteromedial thigh (adductor) perforator flaps in propeller configuration, permitting direct closure of the donor site without skin grafting. © 2006 Lippincott Williams & Wilkins, Inc.