Efficacy analysis of bilateral gluteus muscle flap and skin flap layered advancement closure for reconstructing stage IV sacral pressure ulcer/injury.

Mingyue Zhang, Yi Chen, Feihong Shu, Lingyan Duan, Kerong Tao, Xing You, Chi Zhang, Guangfeng Sun

Abstract read

In one paragraph

Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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3 · Its place in the literature

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1 citing paper in PubMed.

Functional Outcomes in Ambulatory Sacral Defect Reconstruction: Focused Appraisal and Muscle-splitting Gluteus Maximus V-Y Advancement.Plastic and reconstructive surgery. Global open · 2026
Article

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Authors and funding

8 authors.

Mingyue ZhangDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Yi ChenDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Feihong ShuCollege of Clinical Institute, Zunyi Medical University, Campus 1 Road, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Lingyan DuanDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Kerong TaoDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Xing YouDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Chi ZhangDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Guangfeng SunDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital of Zunyi Medical University, The Intersection of Xinlong Avenue and Xinpu Avenue, Xinpu New District, Zunyi City, Guizhou Province 563003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pressure ulcer/injury (PU/PI) is serious wounds that are costly to treat. Reconstructive surgery is usually reserved for deep or hard-to-heal cases of stage III and IV ulcers. Following surgical debridement, local flaps are frequently used to fill the wound cavity. Surgical treatment of PU/PI is challenging for high recurrence rates. Our study evaluates the use of bilateral gluteus muscle flap and skin flap layered advancement closure to reconstruct the sacral PU/PI. We performed a retrospective analysis of patients with stage IV sacral PU/PIs treated with our bilateral gluteus muscle flap and skin flap layered advancement closure from March 2019 to March 2022. A description of our management, operative protocol, outcome and complications is outlined. Seven patients (four male, three female average age 52 years) with small or medium size stage IV sacral PU/PIs were treated with bilateral gluteus muscle flap and skin flap layered advancement closure. The average size of the PU/PI was 8.6 × 6.4 cm (range 4 × 4 cm to 12 × 8 cm). All seven flaps survived. The patients were followed up average for 12 months (from 6 months to 24 months). Cosmetic results were satisfactory, with no surgical site breakdown or recurrence of PU/PI in any of the cases. Advantages of this technique include simplicity, reliability, and low risk of recurrence. This viable method of repairing small to medium-sized sacral stage IV PU/PI permits a safe and complete primary closure without undue tension and with respect of cosmetic principles.

Indexed as

Gluteus muscle flapLayered closurePressure injuryPressure ulcerSkin flap

Identifiers

PMID40686791

DOI10.1016/j.jpra.2025.06.012

PMCPMC12275888

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