Reconstructive Surgery

  • Christopher Khoo
  • Bruce N. Bailey


The management of pressure sores has always reflected the prevailing beliefs about their cause. Fabricius (1593) held that skin ulceration was caused by a ‘pneuma’ resulting from loss of nerve and blood supply to the skin. Even Charcot (1868, 1879) believed that pressure ulcers resulted from the action of a neurotrophic factor which caused tissue necrosis. As late as 1940 Munro stated that pressure sores were inevitable following paraplegia, owing to the loss of protective reflexes, and should therefore not be treated.


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© The editor and contributors 1990

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  • Christopher Khoo
  • Bruce N. Bailey

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