Measurement of combined flap thickness for reconstruction of decubitus ulcer using computed tomography

Figure 1 A 58 years old male patient with grade IV decubitus ulcer on ischial region. A: Intraoperaetive findings: Discrepancy between opening (3 cm² × 3 cm²) and soft tissue defect (7 cm² × 3 cm²); B: Is observed. Design of Inferior gluteal artery based fasciocutaneous flap, inferior 1/3 portion of gluteus maximus muscle is splitted and transpositionted to cover exposed ischial tuberosity; C: Immediate postoperative findings; D: Postopertive phogograph at 6 mo follow up: No concavity is observed on the flap.