Pressure sores

 

Pressure sores consist of areas of ulceration and skin/soft tissue necrosis of any part of the body, usually over a prominent bone, after prolonged pressure (sacrum, trochanteric region, ischial tuberosities). Treatment involves nutritional reinforcement, control of spasticity and frequent postural alternation, ideally of 3/3 hours. Despite advances in the surgical repair of these lesions, recurrences occur with frequency. Surgical treatment generally consists of excisional debridement of the ulcer, its bursa, and any heterotopic calcification; partial / total ostectomy to reduce bone prominence and any area of exposed or infected bone, and coverage of the defect with fasciocutaneous and musculocutaneous flaps.

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