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J Reconstr Microsurg 2002; 18(5): 397-400
DOI: 10.1055/s-2002-33023
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Reinnervated Medial Gastrocnemius Free Flap for Closure of a Recurrent Ischial Pressure Sore: Case Report

Jonathan W. Jones
  • Private Practice, Reconstructive Plastic Surgery, Hand and Microsurgery, San Diego, CA.
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Publication History

Publication Date:
31 July 2002 (online)

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ABSTRACT

A 42-year-old T7 level paraplegic man had undergone multiple local flap transfers for closure of a recurrent left ischial pressure sore. When wound breakdown again occurred and regional flap transfers were no longer a possibility, a medial gastrocnemius free flap was transferred to the ischial region. Reinnervation of this flap was accomplished by interposing a sural nerve graft between a proximal intercostal nerve and the tibial motor nerve branch of the gastrocnemius muscle. Following the return of protective sensation, the patient has developed no new ischial pressure ulcerations.

KEYWORDS

Ischial pressure sore - gastrocnemius free flap - nerve graft

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