Freestyle SGAP flaps for sacral ulcers

<b>Study Design:</b> Retrospective case study. <b>Objective:</b> To study the feasibility and ease of freestyle SGAP perforator flaps for sacral ulcers. <b>Setting:</b> This study was conducted in tertiary care hospital in India.Sacral ulcers are commonly encountered in long-term bedridden patients. Various options to cover these ulcers include the gluteus muscle flaps (v-y, rotation and advancement), fascio-cutaneous flaps, superior and inferior gluteal artery perforator flaps. The superior gluteal artery perforator (SGAP) flap is a reliable option for sacral sore management. Using this flap, only one out of ten patients had partial flap necrosis. None had wound dehiscence nor seroma formation. No recurrence was seen at three months follow-up. This flap can safely be used as a 'free style' flap.