The authors present the surgical strategy in the treatment of a morbidly obese paraplegic patient with a massive sacral pressure ulcer as well as bilateral trochanteric ulcers in a 1-step leg-sacrificing procedure utilizing the “spare-part” concept. It is the intention of the authors to reinforce the use of fillet flaps as a last resort option in paraplegic patients with pressure sores.
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From the Department of Plastic, Aesthetic and Reconstructive Microsurgery, Hand Surgery Klinikum Ernst von Bergmann, Potsdam, Germany.
Received for publication August 5, 2018; accepted October 25, 2018.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.
Iakovos Georgiou, MUDr, Department of Plastic, Aesthetic and Reconstructive Microsurgery, Hand Surgery, Klinikum Ernst von Bergmann, Charlottenstr. 72, 14467, Potsdam Germany, E-mail: firstname.lastname@example.org