Document Detail

Free flaps for pressure sore coverage.
MedLine Citation:
PMID:  18520197     Owner:  NLM     Status:  MEDLINE    
Management of pressure sores still represents a major challenge in plastic surgery practice due to recurrence. The surgeon may have to face multiple or recurrent pressure ulcerations without any local flap left. In this very limited indication, free flap surgery appears to be a useful adjunct in the surgical treatment. We reviewed our charts looking for patients operated for a pressure sore of the sacral, ischial, or trochanteric region. We found 88 consecutive patients representing 108 different pressure sores and 141 flap procedures. Among these patients, 6 presented large sores that could not be covered with a pedicled flap and benefited from free flap surgery (4.2% of all procedures). Stable coverage was achieved in 80% of these patients after a mean follow-up of 32 months. Comparison between pedicled and free flaps groups showed a trend in the latest concerning the presence of diabetes, incontinence, paraplegia, and male sex.
Vincent Lemaire; Kevin Boulanger; Oliver Heymans
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  60     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  631-4     Citation Subset:  IM    
Department of Plastic Surgery, University Hospital, Liege, Belgium.
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MeSH Terms
Aged, 80 and over
Diabetes Mellitus / epidemiology
Middle Aged
Paraplegia / epidemiology
Pressure Ulcer / epidemiology,  surgery*
Reconstructive Surgical Procedures / methods*
Retrospective Studies
Smoking / epidemiology
Surgical Flaps*
Treatment Outcome
Urinary Incontinence / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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