Selected flap options for pressure-induced injury closure

Location	Flap	Blood supply
Sacrum	V-to-Y fasciocutaneous advancement	Superior and inferior gluteal artery perforator
Sacrum	Gluteus maximus (rotation, sliding, muscle splitting)	Superior and inferior gluteal artery perforator
Ischium	V-to-Y fasciocutaneous posterior thigh advancement (with or without hamstrings)	Profunda femoris artery perforators
	Gluteus maximus rotation	Inferior gluteal artery
	Gracilis myocutaneous flap	Medial femoral circumflex artery
	Inferior gluteal perforator	Inferior gluteal artery
	Medial thigh fasciocutaneous	Medial femoral circumflex artery
Trochanter	Tensor fascia lata (rotation, V-to-Y advancement)	Lateral femoral circumflex artery/superior gluteal artery
Trochanter	Antero-lateral thigh	Descending branch of lateral circumflex femoral artery

Courtesy of Alan D Rogers, MBChB, FC Plast Surg, MMed, FRCSI, MSc.

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