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2015 ; 36
(3
): 112-6
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Surgical reconstructive procedures for treatment of ischial, sacral and
trochanteric pressure ulcers
#MMPMID26188755
Marchi M
; Battaglia S
; Marchese S
; Intagliata E
; Spataro C
; Vecchio R
G Chir
2015[May]; 36
(3
): 112-6
PMID26188755
show ga
BACKGROUND: Pressure ulcers are frequent complications for long term hospitalized
bed-ridden patients which are not able to move or move very little. In fact, the
lesion forms in a skin and muscle region which undergoes a constant pressure
between an underlying bone protrusion and a support structure such as a bed or a
wheelchair. Initially only the outer layers are involved but in time, the ulcer
can spread to the deeper structures and reach the bone. PATIENTS AND METHODS: In
our work we described the anatomical areas that are most often subject to
developing a pressure ulcer and we considered the surgical treatment and
reconstructive procedures which are applied using a logical and rigorous
sequence. RESULTS: We considered 4 clinical cases (2 ischiatic sores, 1 sacral
sore and 1 gluteal-trochanteric sore) which demonstrate the surgical treatment
and the reconstructive procedures. CONCLUSIONS: It is crucial to cover the
defects with a thick flap to give more support and protection to the areas which
undergo pressure and to lower the incidence of recurrences.