KMID : 0358819860130030383
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Journal of Korean Society of Plastic and Reconstructive Surgeons 1986 Volume.13 No. 3 p.383 ~ p.390
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CLINICAL OBSERVATION OF MANAGEMENT OF PRESSURE SORE
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Kim Hyun-Chul
Kim Yong-Sung Oh Suck-Joon Lee Se-Il
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Abstract
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The pressure sore is a common clinical problem in patient of spinal cord injury or long term comatous patient. These patients have frequently required long term hospitalization, careful attention to local wound care and dietary suppliment and time consuming operation. Author reviewed 17 patients who had suffered from pressure sore and treated by surgery in Nativonal Medical Center for recent 3 years.
The result of clinical evaluation was as followings:
1. The ratio between male & female patient was 13:4
2. The incidence according to age group was highest in 3rd decade.
3. The trauma was the highest etiologic factor, the ratio of trauma to total case was 10/17
4. The total number of pressure sores was 21 cases in those 17 patients.
5. Locations of pressure sores was as following: sacrum (14 case), greater trochanter (5 case), ischium (2 cases).
6. Ten cases of pressure sores were treated by myocutaneous flap and eleven cases were treated by randdom pattern flap. Performed myocutaneous flaps were as following: gluteus maximus myocutaneous flaps (6 cases), tensor fascia lata myocutaneous flap (2 cases), vastus lateralis myocutaneous flap (2 cases).
7. The postoperative complication rate was significantly decreased and the postoperative period of hospitalization was much reduced in patients of myocutaneous flap than that of random pattern flap.
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