Hand Surgery and MicrosurgeryFree Flaps for Pressure Sore CoverageLemaire, Vincent MD; Boulanger, Kevin MD; Heymans, Oliver MD, PhDAuthor Information From the Department of Plastic Surgery, University Hospital, Liege, Belgium. Received February 11, 2007 and accepted for publication, after revision, May 28, 2007. Reprints: Vincent Lemaire, MD, Department of Plastic Surgery, University Hospital, Liege, Belgium. E-mail: [email protected]. Annals of Plastic Surgery: June 2008 - Volume 60 - Issue 6 - p 631-634 doi: 10.1097/SAP.0b013e31812c1465 Buy Metrics Abstract Management of pressure sores still represents a major challenge in plastic surgery practice due to recurrence. The surgeon may have to face multiple or recurrent pressure ulcerations without any local flap left. In this very limited indication, free flap surgery appears to be a useful adjunct in the surgical treatment. We reviewed our charts looking for patients operated for a pressure sore of the sacral, ischial, or trochanteric region. We found 88 consecutive patients representing 108 different pressure sores and 141 flap procedures. Among these patients, 6 presented large sores that could not be covered with a pedicled flap and benefited from free flap surgery (4.2% of all procedures). Stable coverage was achieved in 80% of these patients after a mean follow-up of 32 months. Comparison between pedicled and free flaps groups showed a trend in the latest concerning the presence of diabetes, incontinence, paraplegia, and male sex. © 2008 Lippincott Williams & Wilkins, Inc.