Caroline Yao, David Perrault and Salah Rubayi*
Division of Plastic and Reconstructive Surgery, University of Southern California, USAFulltext PDF
The development of pressure ulcers is related to many factors. Primarily the lack of sensation and unrelieved pressure resulting in ischemia of the tissue which eventually will progress to necrosis and development of stage pressure ulcers. The worst is stage 3 & 4. If proper wound care and patient education may help to heal these wounds but unfortunately in spinal cord injury patients there is a high incident of recurrence of pressure ulcers, between 30-60%. Therefore with the advancement of reconstructive plastic surgery this becomes possible to repair the defect but there is a limitation to how many times using the same tissue or exhaustion of the tissue available. We describe in this case how a spinal cord injury patient approached the final limit of tissue available prior to final disarticulation. As a result a complex reconstructive surgery was performed and described.
Yao C, Perrault D, Rubayi S. Complex Reconstructive Plastic Surgery for End Stage Pressure Ulcers in Spinal Cord Injury Patients. Clin Surg. 2017; 2: 1325.