[Surgical treatment of decubitus ulcers of the pelvic area in patients with spinal cord injury].
Pressure sores in spinal cord-injured patients can be treated by either conservative or surgical methods. Shortened healing period and long lasting results can be achieved by surgery. Between 1993 and 2001 the authors performed 64 operations with musculocutaneous or musculo-fasciocutaneous flaps in all cases. All patients healed primary except one, whose 20-year-old pressure sore transformed malignant and gave metastasis. The complication rate was 21.42%, that equals with the data of the literature. Measuring the late postoperative results by follow-up questionnaire, a 9.52% ratio of recurrence was found, which was significantly smaller than data of the literature (19-82%). Authors analyse the causes of their (good) results.
Jósvay
János
J
Központi Honvédkórház, Plasztikai Sebészet, H-1553 Budapest, Pf. 1. josvayjanos@drotposta.hu
Donáth
Antal
A
Kertész
Györgyi
G
Klauber
András
A
D005260:Female; D006801:Humans; D008297:Male; D010388:Pelvis; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000150:complications*; D013524:Surgical Flaps
A medencetájéki decubitusok mütéti kezelése gerincvelösérült betegeknél.