PMC6363780_01
a Photo of patient (case 1) showing sacral and trochanteric PrUs. Trochanteric PrU is communicating with the hip joint with exposed proximal femur. b Final intra operative photo showing transfer of the Tensor Fascia Lata Flap over trochanteric PrU along with primary closure of the donor site. c Photo of the operative area at final follow-up showing complete healing of flap area with no signs of recurrence. d Photo showing fasciocutaneous flap with SSG with multiple epidermal nicks was done for the sacral PrU
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Fig2
A fasciocutaneous flap with SSG containing multiple epidermal nicks was done for the sacral PrU four weeks later (Fig. 2a-d).
Photo of the patient (case 1) showing use of Indian made wooden bed (Charpai) with cotton mattress and rehabilitation of patient at home
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Fig3
The patient used an Indian made wooden bed with hand woven ropes (Charpai) and a cotton mattress at home (Fig. 3).
PMC6363780_02
a Photo of the patient (case 2) in prone position showing sacral PrU and left trochanteric PrU. b Photo of the same patient showing right trochanteric PrU. c Intraoperative photo showing raw area with Tensor Fasia lata Flap during surgery over right trochanteric PrU. d Photo at final follow-up showing excellent uptake of flap and split skin graft
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Fig4
A SSG was performed at the donor site (Fig. 4a-d).
PMC6363780_03
a Photo of patient (case 3) showing trochanteric PrU communicating with the hip joint with exposed proximal femur. b Intraoperative photo showing TFL flap raised and transferred to the PrU. Donor site stitched prior to stitching of the flap at PrU site. c Final intra operative photo showing transfer of the Tensor Fascia Lata Flap over trochanteric PrU along with primary closure of the donor site. Small area of the PrU left uncovered by flap was skin grafted. d Photo of the operative area at final follow-up showing complete healing of flap area with no signs of recurrence
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Fig5
A small area of the PrU was unable to be covered with the TFL flap, however, it was covered with a SSG (Fig. 5a-d) and a primary closure of the donor site was achieved.