title: [Fillet flap for treatment of life-threatening pressure ulcer].
abstract: A 71-year-old multi-morbid, paraplegic male with five pressure ulcers and a left-sided open trochanter fracture with chronic osteomyelitis was admitted to hospital. His condition required exarticulation of the left hip joint. A radical wound revision and a pedicled lower extremity fillet flap reconstruction of the defect was performed. The patient made uneventful recovery to normal activity within six weeks and had a stable result after one year follow-up. The case is a reminder of the importance of early intervention and preventive management of pressure ulcers and elaborates the benefits of interdisciplinary team efforts in the treatment of advanced ulcers.
authors.affiliation: Plastikkirurgi, Sykehuset Telemark, Borgemarka 65 Ulefossvein, Skien, 3711 Telemark, Norge. gudjonleifur@yahoo.com.
authors.forename: Gudjon Leifur
authors.initials: GL
authors.lastname: Gunnarsson
authors.forename: Hilde
authors.initials: H
authors.lastname: Høimyr
authors.forename: Paolo Emilio
authors.initials: PE
authors.lastname: Rossi
authors.forename: Jørn Bo
authors.initials: JB
authors.lastname: Thomsen
mesh_terms: D000368:Aged; D016638:Critical Illness; D005597:Fractures, Open / Q000473:pathology / Q000601:surgery; D006428:Hemipelvectomy; D006620:Hip Fractures / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000473:pathology; D003668:Pressure Ulcer / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps