Abstract
The repair of bone explore wounds is one of the difficult problems in plastic and reconstruction surgery. Platelet-richplasma(PRP) isasafe and efficient therapeutic optionfor various trauma, including Osteoarticular, musculoskeletal, and Wound injuries. However, the preparation and storage of PRP becomes challenging for patients with poor systemic status and requiring multi-use of PRP. The availability of safe, reliable tissue bank makes it possible. We report a case of a 42-year-old woman patient with a chronic hip wound combined with ischium bone exploration. And the patient who was treated with long-term glucocorticoids for rheumatoid arthritis has been through the experience of extensive conservative management. Thereafter necrosectomy and Vacuum-Assisted Closure (VAC) surgical procedure failed, and aPRPdaily injectionwas performed at the ischial muscle and soft tissue. Neo-muscle appeared around the explored ischium bone after 8weeks of injection and Complete wound healing was obtained in 3months.
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