Ischiatic pressure sores: our experience in coupling a split-muscle flap and a fasciocutaneous flap in a ‘criss-cross’ way
| Autor: | P Palombo, M Schirosi, Alessandro Borgognone, F De Vita, T Anniboletti |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Reconstructive surgery medicine.medical_specialty Adolescent Pressure sores Muscle flap Surgical Flaps Central nervous system disease Young Adult medicine Humans In patient Prospective Studies Spinal cord injury Spinal Cord Injuries Aged Retrospective Studies Aged 80 and over Pressure Ulcer business.industry Local flap General Medicine Middle Aged Plastic Surgery Procedures medicine.disease Surgery Fasciocutaneous flap Italy Thigh Neurology Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Spinal Cord. 48:770-773 |
| ISSN: | 1476-5624 1362-4393 |
| DOI: | 10.1038/sc.2010.25 |
| Popis: | Description of a technique and prospective follow-up study. The aim of this study was to present our experience in the surgical treatment of ischial pressure sores, especially recurrence. The Department of Plastic and Reconstructive Surgery and Spinal Injuries Unit, CTO Hospital, Rome, Italy. From 1995 to 1997, the authors used in 12 consecutive paraplegic patients, who had a grade III or IV decubitus ulcer in the ischial area only, two different and independent flaps coupled together in a ‘criss-cross’ musculocutaneous flap: a split-muscle gluteus maximus flap and a rhomboid fasciocutaneous local flap. The average follow-up period was 3 years and 9 months. Details of the operative procedure are presented to prove that this criss-cross closure of the ischial pressure sore beneficial for patients with spinal cord injury. All flaps survived; recurrence of the decubitus ulcer occurred in one patient (8%). Pressure-sore-free survival after surgery was 20 months in the patient with recurrence and an average of 26 months in patients without recurrence. The results obtained confirm this procedure to be safe and useful. We believe this technique to be a valuable alternative for the reconstruction of primary or recurrent ischial pressure ulcers. |
| Databáze: | OpenAIRE |
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