Definitive Reconstruction for Stage III & IV Pressure Ulcers
Chronic decubitus ulcers (bedsores) in bedridden or spinal cord injury patients frequently progress to expose deep bony prominences, leading to chronic osteomyelitis, severe protein loss, and life-threatening sepsis. Routine dressings and ointments cannot heal deep Stage 3 and Stage 4 ulcers because the tissue has suffered ischemic necrosis and underlying dead space exists.
Dr. Vishal Purohit specializes in comprehensive surgical debridement, bone smoothing (ostectomy), and well-vascularized tissue transfer that brings healthy muscle and fascia over the bared bone, providing an internal biological cushion that resists pressure.
Site-Specific Reconstructive Flaps
Sacral Bedsores (Tailbone Ulcers)
Reconstructed using unilateral or bilateral gluteus maximus myocutaneous flaps, superior gluteal artery perforator (SGAP) flaps, or large V-Y fasciocutaneous advancement flaps that completely fill the sacral hollow.
Ischial Bedsores (Sitting Ulcers)
The most challenging ulcers in wheelchair-bound patients, reconstructed using hamstring V-Y advancement flaps, inferior gluteal flaps, or gracilis muscle flaps designed to withstand sitting pressure.
Trochanteric Bedsores (Hip Ulcers)
Reconstructed utilizing the pedicled Tensor Fasciae Latae (TFL) flap, providing thick, durable fascial support directly over the femoral greater trochanter.