Results of Surgical Treatment for Decubitus Lesions
Different surgical techniques are selected for the treatment of decubitus ulcers according to size, site, age of patient and preoperative walking ability. However, there are some difficulties in selecting the best technique because of the high possibility of recurrence after surgery. We performed su...
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| Published in | Orthopedics & Traumatology Vol. 44; no. 2; pp. 666 - 669 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
West-Japanese Society of Orthopedics & Traumatology
1995
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0037-1033 1349-4333 1349-4333 |
| DOI | 10.5035/nishiseisai.44.666 |
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| Abstract | Different surgical techniques are selected for the treatment of decubitus ulcers according to size, site, age of patient and preoperative walking ability. However, there are some difficulties in selecting the best technique because of the high possibility of recurrence after surgery. We performed surgical treatment for 30 cases of decubitus ulcers, including 21 cases in the sacral region, 5 cases on the greater trochanter, and 4 cases in the ischial region. Treatment included the use of suturing, local skin flaps and musculocutaneous flaps. These results suggest that sutures and local skin flaps are indicated for cases with relatively small skin defects of less than 5×5cm. Musculocutaneous flaps provide the most stable results and are indicated for elderly patients or those with a damaged spinal cord and decubitus lesions of 5×5cm or more. |
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| AbstractList | Different surgical techniques are selected for the treatment of decubitus ulcers according to size, site, age of patient and preoperative walking ability. However, there are some difficulties in selecting the best technique because of the high possibility of recurrence after surgery. We performed surgical treatment for 30 cases of decubitus ulcers, including 21 cases in the sacral region, 5 cases on the greater trochanter, and 4 cases in the ischial region. Treatment included the use of suturing, local skin flaps and musculocutaneous flaps. These results suggest that sutures and local skin flaps are indicated for cases with relatively small skin defects of less than 5×5cm. Musculocutaneous flaps provide the most stable results and are indicated for elderly patients or those with a damaged spinal cord and decubitus lesions of 5×5cm or more. |
| Author | Odashiro, Koji Sakuragi, Koji |
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| References | 4) 丸毛英二: 筋皮弁と筋弁. 克誠堂, 東京, 87-115, 1985. 9) 宇佐美泰徳, 吉川厚重, 木村直弘ほか: 仙骨部褥瘡の手術療法. 整形外科と災害外科, 42: 1237-1243, 1993. 1) Daniel, R. K., Hall, E. J., McLeod, M. K.: Pressure sores; a reappraisal. Ann. Plast. Surg., 3: 53-63, 1978. 6) 鬼塚卓弥: 形成外科手術書. 南江堂, 東京, 902-909, 1982. 2) 波利井清紀, 永田悟: 殿部・会陰部ならびに腰仙部の再建. 手術, 40: 1677-1687, 1986. 8) 谷口昌, 浦川晋也, 赤堀脩ほか: 褥瘡再建術の予後調査. 日本形成外科学会会誌, 9: 71-72, 1989. 7) 高山修身, 波利井清紀, 山田敦ほか: 大腿筋膜張筋皮弁を利用した各種再建術. 日本形成外科学会会誌, 3: 195-205, 1983. 5) McCraw, J. B., Dibbell, D. G.: Experimental definition of independent myocutaneous vascular territories. Plast. Reconstr. Surg., 60: 212-220, 1977. 3) 河野稔彦: 仙骨部褥瘡に対する大殿筋皮弁の症例と適応について. 整形外科, 33: 1263-1268, 1982. 10) 碓井良弘, 岩永正彦, 吉村理ほか: 褥瘡の外科治療. 整形外科, 40: 1467-1473, 1989. |
| References_xml | – reference: 3) 河野稔彦: 仙骨部褥瘡に対する大殿筋皮弁の症例と適応について. 整形外科, 33: 1263-1268, 1982. – reference: 9) 宇佐美泰徳, 吉川厚重, 木村直弘ほか: 仙骨部褥瘡の手術療法. 整形外科と災害外科, 42: 1237-1243, 1993. – reference: 10) 碓井良弘, 岩永正彦, 吉村理ほか: 褥瘡の外科治療. 整形外科, 40: 1467-1473, 1989. – reference: 8) 谷口昌, 浦川晋也, 赤堀脩ほか: 褥瘡再建術の予後調査. 日本形成外科学会会誌, 9: 71-72, 1989. – reference: 1) Daniel, R. K., Hall, E. J., McLeod, M. K.: Pressure sores; a reappraisal. Ann. Plast. Surg., 3: 53-63, 1978. – reference: 6) 鬼塚卓弥: 形成外科手術書. 南江堂, 東京, 902-909, 1982. – reference: 4) 丸毛英二: 筋皮弁と筋弁. 克誠堂, 東京, 87-115, 1985. – reference: 5) McCraw, J. B., Dibbell, D. G.: Experimental definition of independent myocutaneous vascular territories. Plast. Reconstr. Surg., 60: 212-220, 1977. – reference: 2) 波利井清紀, 永田悟: 殿部・会陰部ならびに腰仙部の再建. 手術, 40: 1677-1687, 1986. – reference: 7) 高山修身, 波利井清紀, 山田敦ほか: 大腿筋膜張筋皮弁を利用した各種再建術. 日本形成外科学会会誌, 3: 195-205, 1983. |
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| Title | Results of Surgical Treatment for Decubitus Lesions |
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