Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap

James P. Higgins, Greg S. Orlando, Phillip N. Blondeel

Research output: Contribution to journalArticlepeer-review

89 Scopus citations


Perforator-flap technique has revolutionised the practice of free tissue transfer with the goal of muscle sparing for function and strength. These concepts are being widely explored for breast reconstruction. The field of pressure-sore reconstruction presents a new application for this technique, preserving muscle for function in ambulatory patients and for future reconstruction in paraplegic patients. Just as the superior gluteal artery perforator flap holds promise for sacral and trochanteric reconstruction, the inferior gluteal artery perforator flap may provide a muscle-sparing alternative for ischial reconstruction. A case report of the successful use of an inferior gluteal artery perforator flap for ischial pressure-sore reconstruction is described, including the surgical technique employed for flap harvest, and 2 year's follow-up.

Original languageEnglish (US)
Pages (from-to)83-85
Number of pages3
JournalBritish Journal of Plastic Surgery
Issue number1
StatePublished - 2002
Externally publishedYes


  • Inferior gluteal artery perforator flap
  • Perforator flap
  • Pressure-sore reconstruction

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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