Archives of Reconstructive Microsurgery
- Volume 11 Issue 1
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- Pages.47-52
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- 2002
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Clinical experience of a Hemipelvectomy in the End-Stage of the Pressure Sore
말기 압박궤양에 있어서 일측성 골반제거술의 임상례
- Lee, Sung-Su (Department of Plastic & Reconstructive Surgery, Yonsei University Wonju College of Medicine) ;
- Hong, Jong-Won (Department of Plastic & Reconstructive Surgery, Yonsei University Wonju College of Medicine) ;
- Chung, Yoon-Kyu (Department of Plastic & Reconstructive Surgery, Yonsei University Wonju College of Medicine) ;
- Oh, Jin-Rok (Department of Orthopedic surgery, Yonsei University Wonju College of Medicine) ;
- Hong, Joon-Pio (Department of Plastic & Reconstructive Surgery, University of Ulsan College of Medicine, Asan Medical Center)
- 이성수 (연세대학교 원주의과대학 성형외과학교실) ;
- 홍종원 (연세대학교 원주의과대학 성형외과학교실) ;
- 정윤규 (연세대학교 원주의과대학 성형외과학교실) ;
- 오진록 (연세대학교 원주의과대학 정형외과학교실) ;
- 홍준표 (울산대학교 의과대학 성형외과학교실)
- Published : 2002.05.31
Abstract
One of the most common problems in cord injury is pressure sores. In the early stage of pressure sores, the wound can be covered by advancing or transpositioning a local myocutaneous flap. However, it can be a great challenge to treat end-stage paraplegic patient who underwent multiple prior flaps, where continuous treatment is needed to prevent recurrent pressure sore due to infection and metabolic drain. In these patients, a local myocutaneous flap may be very difficult for coverage of the wounds. Therefore, hemipelvectomy may be considered. The authors performed a hemipelvectomy on a 33 year-old male paraplegic patient who presented with multiple, large wounds seen in end-stage pressure sores. He had a compression fracture of the lumber spine 9 years ago during a motor vehicle accident. After a wide exicision of the wound, the anterior flap was used as a fillet-flap for reconstruction. On the sixth day postoperatively, secondary repair was done due to wound dehiscence and the postoperative results have been satisfactory thus far.
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