Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: A case report

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung


  • Volker J. Schmidt - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Raymund E. Horch - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Adrian Dragu - , UniversitätsCentrum für Orthopädie, Unfall - und Plastische Chirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Justus P. Beier - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Ilker Y. Eyüpoglu - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Almut Hirsch - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Ulrich Kneser - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)


Early and reliable closure of large meningomyelocoele defects in newborns is critical to prevent severe infectious complications and neurologic deterioration. Here, we introduce a new surgical method for the reconstruction of large horizontal meningomyelocoele defects, in which we use unilateral myocutaneous tissue based on the superior gluteal artery (SGA) as a propellar flap. This procedure permits a tension-free and durable multilayer closure of difficult, large-scale horizontal defects that cannot adequately be treated by conventional myocutaneous advancement flaps. The technique is reliable and straightforward and requires no skin grafts or relaxing incisions. The SGA-based myocutaneous propeller flap might be a promising alternative for complex meningomyelocoele reconstructions in the future.


Seiten (von - bis)521-524
FachzeitschriftJournal of Plastic, Reconstructive and Aesthetic Surgery
PublikationsstatusVeröffentlicht - Apr. 2012

Externe IDs

PubMed 21873132
ORCID /0000-0003-4633-2695/work/145698769


ASJC Scopus Sachgebiete


  • Lumbosacral defect, Meningomyelocoele, Myocutaneous propeller flap, Superior gluteal artery