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European Journal of Plastic Surgery

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12-06-2023 | Wound Debridement | Original Paper

Reconstructive procedure for treatment of trochanteric pressure ulcers in spinal-cord-injured patients

Authors: Luca Negosanti, Siriana Landi, Luca Gaiani, Rita Capirossi, Micaela Battilana, Rossella Sgarzani

Published in: European Journal of Plastic Surgery | Issue 6/2023

Abstract

Background

Pressure ulcers are frequent complications for spinal-cord-injured patients and, trochanteric pressure sores, are quite difficult to treat. This site requires to consider some aspects, such as wound dimension, surgical timing, and reconstructive flap choice.

Methods

We report our experience from 2011 to 2016 on 82 trochanteric sores in 68 spinal-cord-injured patients. All the cases were treated with two-time procedures. Firstly, we performed the surgical toilette of the wound, and in the second procedure, the reconstruction with a muscle or musculocutaneous flap.

Results

Using the two-time procedure, we report no recurrences after a mean follow-up of 3 years. The main complication reported was a seroma that undergo to a spontaneous resolution. Conclusions

Conclusions

We believe that the described approach can be useful to treat trochanteric sores and to reduce the recurrence rate. Muscle flaps seem to be superior to fasciocutaneous or perforator flaps in this site.

Level of evidence: Level III, therapeutic study.

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Title: Reconstructive procedure for treatment of trochanteric pressure ulcers in spinal-cord-injured patients
Authors: Luca Negosanti
Siriana Landi
Luca Gaiani
Rita Capirossi
Micaela Battilana
Rossella Sgarzani
Publication date: 12-06-2023
Publisher: Springer Berlin Heidelberg
Keywords: Wound Debridement
Seroma
Published in: European Journal of Plastic Surgery / Issue 6/2023
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-023-02086-w

2024 ASCO Annual Meeting

Springer Medicine

Reconstructive procedure for treatment of trochanteric pressure ulcers in spinal-cord-injured patients

Abstract

Background

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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