[Surgical treatment of bedsores, trophic ulcers and osteomyelitis in patients with injuries of the spine and spinal cord].

Bedsores, trophic ulcers, and osteomyelitis in 250 patients with injury of the spine and spinal cord were treated by surgery. Surgical treatment of bedsores in the sacral region with a skin graft in which all the layer and the subcutaneous fat are preserved and which has independent circulation proved most effective. The graft was formed from the lumbar or gluteal region and transposed to the skin defect formed after removal of the nonviable skin areas and scars. In the region of the greater trochanters the grafts were formed from the adjacent to the bedsore tissues of the gluteal region or thigh and the greater trochanters involved in the osteomyelitic process were resected. The surgical management of bedsores in the region of the ischial tuberosities consisted in excision of the skin margins of the bedsore together with the infectious granulomas, bursae, and the cicatrico-granulomatous tissue. In osteomyelitis of the ischium and bedsores in the gluteal region, the bone was resected. A total of 54 resections of the ischial in 47 patients were carried out.