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Surgical treatment of pressure ulcers: 20-year experience

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Presentation on theme: "Surgical treatment of pressure ulcers: 20-year experience"— Presentation transcript:

1 Surgical treatment of pressure ulcers: 20-year experience
Orpha I. Schryvers, BN, Miroslaw F. Stranc, MD, FRCS(Eng), FRCS(C), Patricia W. Nance, MD, FRCPC  Archives of Physical Medicine and Rehabilitation  Volume 81, Issue 12, Pages (December 2000) DOI: /apmr Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig. 1 Length of hospital stay (n = 415).
Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig. 2 Age at admission. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig. 3 Site of pressure ulcers. (■), Sacral; (▨), Ischial; (▩), Trochanteric; (▩), Lower Limbs; (□), Other. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig. 4 Right trochanteric pressure ulcer; the same buttock rotation flap has been used on 2 previous occasions, shown by the scars of previous Burrow's triangles. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

6 Fig. 5 (A) Recurrent buttock ulcer; closure plan to rerotate tensorfascia lata flap. (B) Stiffness of tissues required raising of vastus lateralis to fill the cavity. (C) Completion of surgery. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

7 Fig. 6 (A) Grade 4, large, recurrent, deep trochanteric ulcer with extensive granulation. (B) Granulating cavity successfully grafted. (C) Definitive closure with local flaps. Archives of Physical Medicine and Rehabilitation  , DOI: ( /apmr ) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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