Abstract
The management of recurrent pressure ulcers is a frequent problem in patients with spinal cord injuries. Many local muscle and fasciocutaneous flaps can be used to cover ulcers of all sizes. However, when a recurrent pressure ulcer has been repeatedly addressed, the number of available flaps becomes quite limited. Contralateral muscles, such as the gracilis, can be used to cover recurrent ischioperineal ulcers and should be employed before last resort surgeries, such as hip disarticulation and the total thigh flap.
Highlights
Open AccessHow to cite this article: Weber EL, Rubayi S
Spinal cord injury predisposes patients to additional medical complications
Successful surgical treatment of stage IV pressure ulcers requires the appropriate choice of a local tissue flap or combination of flaps which provide muscle, subcutaneous tissue, and skin, as well as adherence to a strict and lengthy postoperative protocol[7,8]
Summary
How to cite this article: Weber EL, Rubayi S. Complex reconstructive surgery for a recurrent ischial pressure ulcer with contralateral muscle. Article history: Received: 19 Sep 2017 Accepted: 18 Oct 2017 Published: 31 Oct 2017
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