کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279221 1611533 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Biplanar flap reconstruction for pressure ulcers: experience in patients with immobility from chronic spinal cord injuries
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Biplanar flap reconstruction for pressure ulcers: experience in patients with immobility from chronic spinal cord injuries
چکیده انگلیسی

BackgroundSurgical therapy for advanced-stage pressure ulcers recalcitrant to healing is a widely accepted practice. The present study examined the incidence of wound recurrence after reconstruction with fasciocutaneous versus combined (biplanar) muscle and fasciocutaneous flaps.MethodsA retrospective review identified 90 nonambulatory patients with spinal cord injury who underwent reconstruction for persistent decubitus ulcers from 2002 to 2008. Electronic medical records were surveyed for patient comorbidities and postoperative complications. Statistical methods included the Fisher exact test and the Mann–Whitney U test with a 2-sided P value of less than .05.ResultsAmong 90 patients reviewed, 33% (n = 30) received fasciocutaneous flaps and 66% (n = 60) underwent biplanar reconstruction. Comorbidities were the same between cohorts with the exception of a greater prevalence of diabetes in the biplanar group (27% vs 50%; P < .05). The incidence of recurrence for biplanar flaps (25%) was significantly lower than for fasciocutaneous reconstruction (53%; P < .01).ConclusionsBiplanar flap reconstruction should be considered for chronically immobilized patients at high risk for recurrent decubitus ulceration.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 203, Issue 3, March 2012, Pages 303–307
نویسندگان
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