Abstract
Once the general condition of a patient suffering from a pressure sore is stabilised, pressure relief has been optimised and a proper debridement and wound-bed preparation are done, the very first objective for further treatment is a rapid rehabilitation. This is the moment when surgical therapy of pressure sores should be considered. There are two main populations of pressure-sore patients with quite diverging characteristics:
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geriatric patients developing pressure sores of sacrum, trochanter or heels because of a reduced amount of spontaneous movement during sleep and a poor peripheral circulation and oxygenation;
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patients with spinal-cord injury developing pressure sores because of impaired sensation at the sites of elevated interface pressure like ischial tuberosity, coccyx (in tetraplegics with lack of muscular stabilisation of their pelvis), trochanter (quite frequently penetrating and infecting the hip joint and therefore extremely dangerous), less frequently - during bed rest - over sacrum and heels.
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© 2004 Springer-Verlag Berlin Heidelberg
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de Roche, R. (2004). Surgical Therapy for Pressure Sores. In: Téot, L., Banwell, P.E., Ziegler, U.E. (eds) Surgery in Wounds. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59307-9_38
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DOI: https://doi.org/10.1007/978-3-642-59307-9_38
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