The recurrent neurotrophic buttock ulcer in the meningomyelocele paraplegic: A sensate flap solution

A large percentage of meningomyelocele paraplegic patients have a distal zo ne of sensation-bearing skin on their thighs. This sensate skin can be used as a fasciocutaneous flap to resurface a recidivistic ulcer after excision . In this study, because the transposition distance was significant, the fl ap length-width ratio was greater than normal and, therefore, required a 3- week elevation delay. This also permitted appraisal of the sensate flap aft er the first stage. The wound-healing was excellent after both stages. This reconstructive procedure was completed in four patients, with an average f ollow-up period of 13 years. These patients remain chronic sitters in admin istrative jobs and have been pressure sore-free after nap repair.