| Treatment of ischial pressure sores using a modified gracilis myofasciocutaneous flap. | |
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MedLine Citation:
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PMID: 19902407 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Haodong Lin; Chunlin Hou; Aimin Chen; Zhen Xu |
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Publication Detail:
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Type: Journal Article Date: 2009-11-09 |
Journal Detail:
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Title: Journal of reconstructive microsurgery Volume: 26 ISSN: 1098-8947 ISO Abbreviation: J Reconstr Microsurg Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-06-10 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 8502670 Medline TA: J Reconstr Microsurg Country: United States |
Other Details:
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Languages: eng Pagination: 153-7 Citation Subset: IM |
Copyright Information:
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Copyright Thieme Medical Publishers. |
Affiliation:
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Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, P R China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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