Stage 4 Pressure Ulcers Stage 4 Sacral Ulcer Post debridement Full thickness injury Failure to offload pressure Wound VAC in place Wound Vac In Place Rotational flap for sacral pressure sore Rotational flap for sacral pressure sore Stage 4 Buttock Ulcer Stage 4 Ulcer Necrotic Skin Debridement Rotational flap for sacral pressure sore Stage 4 Buttock Ulcer Clinically initially unstaged Results from unrelieved pressure (typically greater than 2 hours ) Skin necrosis Stage 4 Ulcer Necrotic Skin Debridement Now is the time to stop the Pain Contact Us Brian Evans, MD (818) 665-3585 (818) 322-0940 Monday-Friday 8:00-3:00 7325 Medical Center Drive suite #304 West Hills CA 91307 Invalid Email SEND YOUR MESSAGE Message Sent! Message failed. Please try again.