title: The operative treatment of pressure sores in the pelvic region: A 10-year period overview.
abstract: BACKGROUND
  Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.
  
  
  METHODS
  A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.
  
  
  RESULTS
  We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.
  
  
  CONCLUSIONS
  The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.
authors.forename: János
authors.initials: J
authors.lastname: Jósvay
authors.forename: András
authors.initials: A
authors.lastname: Klauber
authors.forename: Béla
authors.initials: B
authors.lastname: Both
authors.forename: Péter B
authors.initials: PB
authors.lastname: Kelemen
authors.forename: Zsombor Z
authors.initials: ZZ
authors.lastname: Varga
authors.forename: Pál Cs
authors.initials: PC
authors.lastname: Pesthy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000473:pathology / Q000601:surgery*; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*; D016038:Skin Transplantation / Q000009:adverse effects; D013119:Spinal Cord Injuries / Q000150:complications
keywords: Decubitus ulcer; Gluteus maximus flap; Hamstring flap; Musculocutaneous hatchet flap; Pelvic region; Tensor fascia lata flap