| Free flaps for pressure sore coverage. | |
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MedLine Citation:
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PMID: 18520197 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Vincent Lemaire; Kevin Boulanger; Oliver Heymans |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 60 ISSN: 1536-3708 ISO Abbreviation: Ann Plast Surg Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-03 Completed Date: 2008-06-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 631-4 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, University Hospital, Liege, Belgium. vlemaire@chu.ulg.ac.be |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Buttocks Child Comorbidity Diabetes Mellitus / epidemiology Humans Male Middle Aged Paraplegia / epidemiology Pressure Ulcer / epidemiology, surgery* Reconstructive Surgical Procedures / methods* Recurrence 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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