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2002
Decubitus ulcers can develop in immobilized patient. Patients with spinal cord injury and elderly patients are at high risk. We presented 36 patient with pressure sore that we operated between May 1994 and January 2000 and our reconstructive procedures. Sacral, trochanteric and ischial pressure sores we are included the study, other sites were excepted. As 3 patient with ischial ulcer were accepted because of recurrence, there were no recur- rence for sacral and trochanteric ulcers. This recurrences were not depend on surgical technicues perhaps due to pressure. Selecting the proper surgical technique for decubitus ulcer, is important eitherpreventing recurrence and funtional loss. We revievved our experience with reconstruction of decubit ulcers betvveen 1994 and 2000 years.
Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery
Simultaneous treatment of sacral and ischial pressure ulcers with a single flap: case presentation2018 •
Indian Journal of Physical Medicine …
Surgical Reconstruction of Pressure Ulcers in Patients with Spinal Cord Disease: A Prospective Study2010 •
Revista Brasileira de Cirurgia Plástica
Surgical treatment of pressure ulcers: a two-year experience2011 •
Plastic and Aesthetic Research
Complex reconstructive surgery for a recurrent ischial pressure ulcer with contralateral muscleThe management of recurrent pressure ulcers is a frequent problem in patients with spinal cord injuries. Many local muscle and fasciocutaneous flaps can be used to cover ulcers of all sizes. However, when a recurrent pressure ulcer has been repeatedly addressed, the number of available flaps becomes quite limited. Contralateral muscles, such as the gracilis, can be used to cover recurrent ischioperineal ulcers and should be employed before last resort surgeries, such as hip disarticulation and the total thigh flap.
The American Journal of Surgery
Hemipelvectomy for severe decubitus ulcers in patients with previous spinal cord injury2003 •
The journal of spinal cord medicine
Surgical management of pressure ulcers during inpatient neurologic rehabilitation: outcomes for patients with spinal cord disease2009 •
To study efficacy of surgery in the management of pressure ulcers and evaluate the effect of simultaneous comprehensive rehabilitation in improving outcome. Prospective, follow-up study. Neurologic rehabilitation unit of a tertiary care center. Patients with spinal cord diseases who had stage III/IV pressure ulcers underwent surgical reconstruction and inpatient rehabilitation in 2005 with a minimum follow-up duration of 1 year. Ulcer healing rate, postoperative complications, ulcers recurrence rate, and neurologic (ASIA grade), and functional recovery (Barthel Index). Frequency analysis and paired t test on SPSS 13.0. Surgical intervention was carried out in 25 participants (19 men, 6 women), having a total of 39 ulcers (13 Stage III, 23 Stage IV, 3 unstaged). Surgeries performed were debridement (3), split skin grafting (13), and flap mobilization and closure (23). Only 4 participants (16.6%) had initial complications: wound dehiscence (2) and delayed graft healing (2). Follow-up ...
ABSTRACT INTRODUCTION Pressure ulcers in patients with spinal cord injury (SCI) are associated with incredible financial cost and human sufferings. The aim of this retrospective study was to determine prevalence of pressure ulcers amongst patients with different levels of SCI. METHODS This retrospective study was conducted on 409 patients with SCI who were admitted to Paraplegic Centre Peshawar, Pakistan from January 2014 to July 2016. Data of the patients were accessed and information regarding demographics, physiological intactness of spinal cord injury, neurological level, occurrence of pressure ulcer, anatomical location of each pressure ulcer, severity of pressure ulcer and number of pressure ulcers were recorded. RESULTS The mean age of the participants were 33.7 ± 14.7 years. Majority of patients were male (77.8%) compared to their counterpart female population. More than half (60.4%) of the patients were married. A big proportion (43%) of the patients was uneducated. The most cited reason of the injury was fall from height (28.9%). Majority of the patients were having complete transaction of spinal cord (67.2%).A big proportion (63.8%) of patients admitted into the centre were having pressure ulcers. The highest percentage of pressure ulcers (72.8%) were found in complete tetraplegia. Majority of SCI patients were having multiple pressure ulcers (60. 9%).In more than half of the patients (56.3%) location of worst pressure ulcer was found to be sacrum-coccyx region and 58.6% patients were having Grade IV pressure ulcers. CONCLUSION: The Prevalence of PU is higher in our cohort as compared to other studies conducted in Pakistan, but large trials and prospective studies are required to truly determine the prevalence of PU in Pakistan. Early detection of PU should be a part of initial management of patients with SCI. Preventive strategies including patient and attendant education and education of health care professionals regarding PU are necessary to minimize burden of PU.
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