Closure of defects from pressure sores requiring proximal femoral resection.
Proximal femoral resection (i.e., modified Girdlestone procedure) is often required in the paraplegic with an infection or dislocation of the hip joint. A philosophy and technique for dealing with this difficult problem are presented. The technique involves using an external osseous fixator to stabilize the femur and allow healing of the flap used to fill the defect.
Klein
N E
NE
Plastic and Reconstructive Surgery Service, Rancho Los Amigos Medical Center, Downey, CA 90242.
Luster
S
S
Green
S
S
Moore
T
T
Capen
D
D
D000328:Adult; D000368:Aged; D003646:Debridement; D005260:Female; D005269:Femur / Q000601:surgery*; D005270:Femur Head / Q000601:surgery; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation; D006617:Hip Dislocation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D003668:Pressure Ulcer / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000601:surgery*; D013524:Surgical Flaps; D014945:Wound Healing