Musalatov Kh A, Silin L L, Elizarov M N, Elizarov P M, Garkavi A V
Vestn Ross Akad Med Nauk. 1995(10):30-2.
The paper presents the results of plastic operations on 54 trochanterian bedsores in 48 patients with complicated spinal injury. Early positive results were obtained in 100% of cases when various modifications of a skin-subcutaneous flap was applied in 16 patients with 17 bedsores. There were relapses in 4 patients following a year. A full-layer skin-subcutaneous-fasciomuscular flap was employed in 33 patients with 37 bedsores. A poor result, namely flap non-acceptance, was seen in one case. Late relapses were absent. It is most expedient to use full-layer flaps in the treatment of bedsores in the tronchaterian area in terms of its anatomic features.
本文介绍了对48例合并脊柱损伤患者的54处转子部褥疮进行整形手术的结果。对16例患者的17处褥疮采用了不同改良的皮下皮瓣，100%的病例早期取得了阳性结果。4例患者在一年后出现复发。对33例患者的37处褥疮采用了全层皮下筋膜肌肉瓣。1例出现皮瓣不存活的不良结果。未出现晚期复发。就转子部区域褥疮的解剖特点而言，使用全层皮瓣治疗最为适宜。
