30 years old, male, this paraplegic young man has had a lumbar fracture 10 years ago and he had several recurrent sacral and ischial pressure sores which have been operated in this department.

Fig. 1: deep left ischial pressure sore.

Fig. 2: deep left ischial pressure sore.

Fig. 3: the wound is packed and drained with LIGASANO® white.

Fig. 4: the wound is packed and drained with LIGASANO® white.

Fig. 5: the wound is packed and drained with LIGASANO® white.

Fig. 6: the wound is packed and drained with LIGASANO® white.

Fig. 7: supplemetary sheet of LIGASANO® white over a LIGASANO® white wick in position.

Fig. 8: a very large posterior tight flap (“Tulenko flap”) prepared to cover the pressure sore.

Fig. 9: a very large posterior tight flap (“Tulenko flap”) prepared to cover the pressure sore.

Fig.10: different stages of the surgical procedure.

Fig. 11: different stages of the surgical procedure.

Fig. 12: different stages of the surgical procedure.

Fig.13: different stages of the surgical procedure.

Fig. 14: final result three weeks after surgery.

Fig. 15: left recurrent ischial pressure sore, two years after.

Fig.16: wound treatment with LIGASANO® white.

Fig. 17: different stages of LIGASANO® white dressing before surgery.

Fig. 18: different stages of LIGASANO® white dressing before surgery.

Fig.19: different stages of LIGASANO® white dressing before surgery.

Fig. 20: different stages of LIGASANO® white dressing before surgery.

Fig. 21: large gluteus maximus muscular flap to cover the left ischial pressure sore.

Fig.22: three days after surgery.

Fig. 23: three weeks after surgery.

Fig. 24: three weeks after surgery. No recurrence in the last 12 month.