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Reconstructive procedure for treatment of trochanteric pressure ulcers in spinal-cord-injured patients

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Abstract

Background

Pressure ulcers are frequent complications for spinal-cord-injured patients and, trochanteric pressure sores, are quite difficult to treat. This site requires to consider some aspects, such as wound dimension, surgical timing, and reconstructive flap choice.

Methods

We report our experience from 2011 to 2016 on 82 trochanteric sores in 68 spinal-cord-injured patients. All the cases were treated with two-time procedures. Firstly, we performed the surgical toilette of the wound, and in the second procedure, the reconstruction with a muscle or musculocutaneous flap.

Results

Using the two-time procedure, we report no recurrences after a mean follow-up of 3 years. The main complication reported was a seroma that undergo to a spontaneous resolution. Conclusions

Conclusions

We believe that the described approach can be useful to treat trochanteric sores and to reduce the recurrence rate. Muscle flaps seem to be superior to fasciocutaneous or perforator flaps in this site.

Level of evidence: Level III, therapeutic study.

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Authors and Affiliations

  1. Montecatone Rehabilitation Insitute, Via Montecatone 37, Imola, Italy

    Luca Negosanti, Siriana Landi, Rita Capirossi & Micaela Battilana

  2. Division of Orthopedic Surgery, Imola Hospital, Imola, Italy

    Luca Gaiani

  3. AUSL Romagna, Cesena, Italy

    Rossella Sgarzani

Authors
  1. Luca Negosanti
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  2. Siriana Landi
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  3. Luca Gaiani
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  4. Rita Capirossi
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  5. Micaela Battilana
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  6. Rossella Sgarzani
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Corresponding author

Correspondence to Luca Negosanti.

Ethics declarations

Ethics approval

The study was approved by the Institutional Ethical Committee AVEC with the reference number 1000–2020-OSS-AUSLIM on 19th November 2020. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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The authors affirm that human research participants provided informed consent for sharing their data and publication of their images.

Conflict of interest

Luca Negosanti, Siriana Landi, Luca Gaiani, Rita Capirossi, Micaela Battilana, and Rossella Sgarzani declare that no funds, grants, or other support were received during the preparation of this manuscript. The authors have no relevant financial or non-financial interests to disclose.

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Negosanti, L., Landi, S., Gaiani, L. et al. Reconstructive procedure for treatment of trochanteric pressure ulcers in spinal-cord-injured patients. Eur J Plast Surg 46, 1213–1217 (2023). https://doi.org/10.1007/s00238-023-02086-w

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  • DOI: https://doi.org/10.1007/s00238-023-02086-w

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