Operative treatment of pressure sores in paraplegics by rotation flap

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The perforator-sparing buttock rotation flap for coverage of pressure sores.

BACKGROUND The rotation fasciocutaneous flap for buttock pressure sore coverage has the distinct advantage of allowing rerotation in the event of ulcer recurrence. The authors describe their approach of preserving and incorporating musculocutaneous perforators into the conventional rotation design. METHODS The skin incision is the same as that for the conventional gluteal rotation flap. The f...

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The prevention and treatment of pressure sores.

Research questions The review sought to answer two questions.

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Pressure Sores

DESCRIPTION A 31-year-old man with known history of paraplegia presents to clinic with a long-standing wound as shown earlier. The wound is located in the presacral region with intact periosteum, healthy overlying fascia, and no purulence.

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The operative treatment of pressure wounds: a 10-year experience in flap selection.

This study sought to both assist in the selection of flaps for ischial pressure wound re-construction and to evaluate the overall complication rates associated with re-construction. A retrospective medical record review was conducted for 78 patients following the surgical re-construction of an ischial pressure sore. Records were reviewed for demographics, location of sores, methods of re-constr...

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Profunda Femoris Artery Perforator Propeller Flap: A Valid Method to Cover Complicated Ischiatic Pressure Sores

We report the case of a 50-year-old paraplegic man with a complicated grade III/IV ischiatic pressure sore treated with a propeller flap based on the first perforator of the profunda femoris artery. Our aim was to surgically reconstruct an ischiatic pressure sore in a patient with ankylosis using a fasciocutaneous perforator propeller flap obtained from the posterior region of the thigh. Our de...

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ژورنال

عنوان ژورنال: Spinal Cord

سال: 1976

ISSN: 1362-4393,1476-5624

DOI: 10.1038/sc.1976.4