Document Detail


Treatment of ischial pressure sores using a modified gracilis myofasciocutaneous flap.
MedLine Citation:
PMID:  19902407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients with ischial sores were enrolled in the study. All patients underwent early aggressive surgical debridement followed by surgical reconstruction with a modified gracilis myofasciocutaneous flap. The follow-up period ranged from 13 to 86 months, with a mean of 44 months. Overall, 91.7% of the flaps (11 of 12) survived primarily. Partial flap necrosis occurred in one patient. Primary wound healing occurred without complications at both the donor and recipient sites in all cases. In one patient, grade II ischial pressure sores recurred 13 months after the operation. There was no recurrence in other 11 patients. A modified gracilis myofasciocutaneous flap provides a good cover for ischial pressure sores. Because it is easy to use and has favorable results, it can be used in the primary treatment for large and deep ischial pressure sores.
Authors:
Haodong Lin; Chunlin Hou; Aimin Chen; Zhen Xu
Related Documents :
16432887 - Ontogeny of suction feeding capacity in snook, centropomus undecimalis.
23889717 - Enhanced blood pressure-lowering effect of olmesartan in hypertensive patients with chr...
11933287 - A simple severity index for pressure ulcers.
10960997 - Preventing pressure ulcers: an evaluation of four operating-table mattresses.
16461847 - Smart damping modulation of carotid wall energetics in human hypertension: effects of a...
11837717 - A synthetic prostaglandin e1 analog, alprostadil alfadex, relaxes sphincter of oddi in ...
Publication Detail:
Type:  Journal Article     Date:  2009-11-09
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  26     ISSN:  1098-8947     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-06-10     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153-7     Citation Subset:  IM    
Copyright Information:
Copyright Thieme Medical Publishers.
Affiliation:
Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, P R China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Debridement
Fascia / transplantation*
Female
Humans
Ischium
Male
Middle Aged
Muscle, Skeletal / transplantation*
Pressure Ulcer / etiology,  surgery*
Reconstructive Surgical Procedures / methods*
Skin Transplantation / methods*
Spinal Cord Injuries / complications
Surgical Flaps*
Thigh*
Treatment Outcome
Wheelchairs
Wound Healing

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


Previous Document:  Intraoperative hemodynamic evaluation of the radial and ulnar arteries during free radial forearm fl...
Next Document:  Reconstruction of extensive composite oromandibular defects with simultaneous free anterolateral thi...