Our experience with ischial pressure sores in a series of 34 patients

Our experience with ischial pressure sores in a series of 34 patients Ischial pressure sores cause important social and occupational problems for patients with sensorimotor handicaps. Repeated hospitalizations are detrimental to their working status and the requirement for daily local care can be a major burden. Preventative measures, including an adapted wheelchair, regular decompression, daily self-surveillance, and local care, can be effective, but when constituted, pressure sores in patients who wish to resume normal social and occupational activities require effective and long-lasting surgical repair. We report surgical management of ischial pressure sores in a series of 34 paraplegic or tetraplegic patients, comparing surgical parameters and outcome for the different coverage techniques used. Outcome after 10 years of regular follow-up would suggest that the Griffith fasciocutaneous flap combined with a muscle flap using the hamstring muscles provides the most favorable results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Our experience with ischial pressure sores in a series of 34 patients

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Publisher
Springer Journals
Copyright
Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050008
Publisher site
See Article on Publisher Site

Abstract

Ischial pressure sores cause important social and occupational problems for patients with sensorimotor handicaps. Repeated hospitalizations are detrimental to their working status and the requirement for daily local care can be a major burden. Preventative measures, including an adapted wheelchair, regular decompression, daily self-surveillance, and local care, can be effective, but when constituted, pressure sores in patients who wish to resume normal social and occupational activities require effective and long-lasting surgical repair. We report surgical management of ischial pressure sores in a series of 34 paraplegic or tetraplegic patients, comparing surgical parameters and outcome for the different coverage techniques used. Outcome after 10 years of regular follow-up would suggest that the Griffith fasciocutaneous flap combined with a muscle flap using the hamstring muscles provides the most favorable results.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jan 14, 2000

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