Tangentially split gluteus maximus myocutaneous island flap based on perforator arteries for the reconstruction of pressure sores

Learning Objectives: After studying this article, the participant should be able to: 1. Describe a new, partial-thickness, tangentially split myocutaneous flap based on perforating vessels from the superior and inferior gluteal arteries. 2. Present indications for the use of the tangential myocutaneous gluteus perforator flap in pressure sore management. 3. Discuss results of flap use in 30 patients with pelvic pressure sores from paraplegia and other debilitating illnesses. 4. Emphasize the ability to use the flap in ambulatory patients without loss of gluteus maximus function.