Background: Pressure sores are defined as soft tissue injuries resulting from unrelieved pressure over a bony prominence such as sacrum, trochanter, heel and occiput etc. There are a variety of reconstruction techniques for sacral pressure sore defects , including Rhomboid flap by Limberg which is a geometric local transposition flap. This paper outlines the rationale for using this flap as well as demonstrates its versatility. Method: We present our case report using Limberg flap technique for treating a sacral pressure sore. After obtaining history, thorough clinical examination and necessary investigations, a single patient underwent surgical excision and single flap coverage of the defect. After flap coverage, the defect was closed over a suction drain. Result: Full primary healing occurred in the patient without any complications after a hospital stay of one week. Conclusion: Limberg flap is a rapid, accurate and reliable alternative surgical technique utilising local tissue in treating sacral pressure pressure ulcer and can be easily done by a general surgeon.

Keywords: Limberg flap; rhomboid flap; sacral pressure sores.