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KMID : 0603120020110010047
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Journal of the Korean Microsurgical Society
2002 Volume.11 No. 1 p.47 ~ p.52
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Clinical experience of a Hemipelvectomy in the End-Stage of the Pressure Sore
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이성수/Sung Su Lee
홍종원/정윤구/오진록/홍준표/Jong Won Hong/Yoon Kyu Chung/Jin Rok Oh/Joon Pio Hong
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Abstract
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One of the most common problems in cord injury is pressure sores. In the early stage of pressure sores, the wound can be covered by advancing or transpositioning a local myocutaneous flap. However, it can be a great challenge to treat end-stage
paraplegic patient who underwent multiple prior flaps, where continuous treatment is needed to prevent recurrent pressure sore due to infection and metabolic drain. In these patients, a local myocutaneous flap may be very difficult for coverage
of
the
wounds. Therefore, hemipelvectomy may be considered.
The authors performed a hemipelvectomy on a 33 year-old male paraplegic patient who presented with multiple, large wounds seen in end-stage pressure sores. He had a compression fracture of the lumber spine 9 years age during a motor vehicle
accident.
After a wide exicision of the wound, the anterior flap was used as a fillet-flap for reconstruction. On the sixth day postoperatively, secondary repair was done due to wound dehiscence and the postoperative results have been satisfactory thus
far.
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KEYWORD
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