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Surgical Reconstruction of Pressure Ulcers

  • Tushar PatelEmail author
  • Eric G. Wimmers
  • Matthew Pontell
  • Adam Saad
Chapter

Abstract

Pressure sores result from pressure breakdown in areas that bear seated weight, such as ischial tuberosities of spinal injury patients, and in areas with pressure due to devices, such as splints, ear probes, or rectal tubes. Decubitus ulcers occur over areas that have underlying bony prominences when the individual is recumbent, e.g., the sacrum, trochanter, heel, and occiput. Pressure is the most likely cause among many other factors that contribute to the development of pressure sores and hence is the most important etiologic factor. As healthcare moves toward non-reimbursement for hospital-acquired pressure ulcers, there is increasing incentive to prevent these lesions. Although there is no strategy that reduces the incidence to zero, there are several interventions that are now part of standard care, which contribute to the prevention of pressure ulcers.

Keywords

Pressure ulcer Decubitus Prevention Etiology Pathophysiology Classification Surgical management Sacral Ischial Trochanteric 

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Tushar Patel
    • 1
    Email author
  • Eric G. Wimmers
    • 1
  • Matthew Pontell
    • 2
  • Adam Saad
    • 1
  1. 1.The Plastic Surgery CenterInstitute for Advanced ReconstructionShrewsburyUSA
  2. 2.Department of SurgeryDrexel University College of MedicinePhiladelphiaUSA

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