整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
脊髄損傷患者の坐骨部, 仙骨部, 大転子部褥創について
嘉本 崇也新宮 彦助大月 健二那須 吉郎塩谷 彰秀
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1971 年 20 巻 2 号 p. 211-215

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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.

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