[Early surgery management of pelvic region pressure ulcers versus directed cicatrization in a population of spinal cord injured patients].
OBJECTIVE
To estimate the benefit brought by an early surgery management of pelvis region pressure ulcers compared to medical processing in a population of subjects spinal cord disabled.


METHODS
The studied population consist of 53 patients (62 pressure ulcers) divided into two groups: the group 1 includes 30 patients (34 pressure ulcers) presenting pressure ulcers stage III or IV (NPUAP scale) with early surgery management, included consecutively during a period of 2 years; the group 2 includes 23 patients (28 escarres) included in a retrospective way, with medical processing by the same team of care. The criteria of judgment are the delay of healing and the delay of delivery of the station sat in the armchair.


RESULTS
In the group 1, the average delay of healing is of 42 days and the average delay of delivery for the armchair of 39 days. In the group 2 healing can be obtained only in 13 cases and in an average delay of 180 days. Differences are significant (p < 0.05).


CONCLUSIONS
The originality of this study results in the comparison of two processing within two groups of patients having close demographic characteristics. It clearly shows the interest of the early surgery of the pelvic pressure ulcers comparing to medical processing and illustrates the requirement for a close cooperation between teams specialized in plastic surgery and teams specialized physical medicine.
Le Chapelain
L
L
Institut régional de réadaptation, 35, rue Lionnois, 54042 cedex, Nancy, France.
Fyad
J P
JP
Beis
J M
JM
Thisse
M O
MO
André
J M
JM
D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D003668:Pressure Ulcer / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000150:complications*; D013514:Surgical Procedures, Operative / Q000379:methods; D013997:Time Factors
Chirurgie précoce de l'escarre pelvienne versus cicatrisation dirigée dans une population de médullo-lésés.