ENHANCING RECOVERY WITH PEDICLED FAT-DERMAL FLAP TECHNIQUES FOR ISCHIAL TUBEROSITY PRESSURE ULCERS IN ATHLETES

Abstract

Background: Pressure ulcers, particularly those located on the ischial tuberosity, present significant challenges in terms of healing, with high rates of recurrence and complications. These issues are particularly critical in athletes, who require rapid and effective recovery strategies to return to training and competition. This study evaluates the effectiveness of an Improved Pedicled Fat-Dermal Flap (IPFDF) technique, which incorporates epidermis, dermis, subcutaneous fat, and intact blood vessels, to reconstruct severe ischial tuberosity pressure ulcers. This technique aims to address the limitations of traditional flap surgeries, such as significant donor site morbidity and inadequate volumetric restoration at the recipient site. Methods: A retrospective analysis was conducted on 23 patients who underwent the IPFDF procedure for the repair of deep ischial tuberosity pressure ulcers between April 2016 and December 2020. The primary outcomes assessed were wound healing, recurrence rates, and the occurrence of any sequelae post-treatment. Results: The application of the IPFDF significantly enhanced wound closure in all 23 patients, with no reported sequela or recurrence of pressure ulcers. The technique demonstrated substantial benefits, including reduced donor site trauma and improved volumetric filling of the ulcerated area, essential for restoring functionality and reducing recovery time in an athletic context. Conclusion: The IPFDF offers a promising alternative for the management of deep pressure ulcers at the ischial tuberosity, with advantages that are particularly relevant in sports medicine. Its less invasive nature and effective repair capabilities support quicker rehabilitation and may help athletes return to their sport with minimal downtime. Further research and development of this technique could broaden its applications and improve outcomes for athletes across various sports disciplines who are prone to such injuries.