الفهرس 
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Abstract
Pressure ulcers constitute a serious problem which is seen in the bedridden , debilitate and spinal cord injury patients . It prolongs the hospital stay of the patient and has a significant economic and social burden. Therefore, early reconstruction of these ulcers improves early recovery and functional recovery of the affected patients .
The aim of this study was to evaluate the differences between gluteal perforator flaps and local fasciocutaneous flaps in reconstruction of gluteal pressure ulcers regarding aesthetic outcome, operative time, post-operative hospital stay, post operative complications and donor site morbidities
This comparative study was conducted on 30 patients with stage III or stage IV gluteal pressure ulcers , who were randomly classified into 2 groups , each group involved 15 patients . group (A) was managed with gluteal artery perforator flaps and group (B) was managed with local fasciocutaneous flaps
Traumatic spinal cord injury was the most prevalent etiology , while anemia was the most common risk factors among patients in both groups .
Our results reflected the statistically significant short operation time and long hospital stay of the fasiocutanous flap when compared to the gluteal perforator flap .
Additionlly , the two techniques had similar results , regarding the aesthetic outcome , when being evaluated by the Likert scale . However , there were no statistically significant differences between both groups in any of the likert scale components (appearance , shape , color and texture) . Also , there was a considerable patient satisfaction in both groups
Regarding post-operative complications , gluteal perforator flaps had a slightly insignificant lower complication rate than fasciocutaneous flaps . In addition , there was no recurrence or mortality among patients in both groups
We believed that both techniques could be used safely and effectively in reconstruction of gluteal pressure ulcers.