Plastic Surgical Closure of Decubitus Ulcers in Patients with Paraplegia

Abstract

Experiences in the surgical treatment of 128 decubitus ulcers (65 ischial ulcers, 54 sacral ulcers and 13 trochanteric ulcers) in patients with paraplegia has been presented.
The principles in the surgical treatment of decubitus ulcers are as follows: excision of the ulcer, scar, bursa and bony prominence, use of a rotated flap of muscle and fascia to cover bony stump and to fill dead space and coverage with a large regional pedicle flap of skin and fat.
Success rate in ischial ulcers was 80 per cent. Sacral and trochanteric ulcers were more difficult to treat successfully.