Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2002 September;38(3) > Europa Medicophysica 2002 September;38(3):139-46

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

REVIEWS   Freefree

Europa Medicophysica 2002 September;38(3):139-46

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

Treatment of decubitus ulcers in patients with spina bifida

Bocchi A., Traspassi S., Bianco G., Castagnetti F., Papadia F.

Chair of Plastic and Reconstructive Surgery, University of Parma, Parma


PDF


Background. Decubitus ­ulcers ­always con­fer sig­nif­i­cant mor­bid­ity to ­patients. On ­the ­one ­hand it rep­re­sents a seri­ous hur­dle to ortho­pe­dic sur­gery ­and ­the ­use of ­splints, ­while on ­the oth­er, it is ­often com­pli­cat­ed by infec­tion ­and ­poor nutri­tion­al ­state. Surgically, ­the man­age­ment of pres­sure ­sores ­involves ­not ­only debride­ment ­and recon­struc­tive pro­ce­dures ­using high­ly-­vital tis­sues (fas­cio­cu­ta­ne­ous ­flaps ­and myo­cu­ta­ne­ous ­flaps), ­but ­also incor­po­rates ­pre- ­and ­postoper­a­tive devic­es, ­such as hyper­bar­ic oxy­gen-ther­a­py ­and ­anti-decub­it­us ­beds.
Methods. We ­report ­our expe­ri­ence ­with 52 ­patients treat­ed ­for decub­it­us ­ulcers, of ­which 20 ­received recon­struc­tive sur­gery, ­from January 1994 to December 2001.
Results. Four fac­tors ­allowed us to ­obtain opti­mum ­results ­with ­very ­low recur­rence ­rates: 1) a care­ful ­wound ­bed prep­ar­a­tion ­phase, 2) hyper­bar­ic oxy­gen ther­a­py ­when indi­cat­ed (chron­ic ­wounds), ­3) ­the ­use of ­anti-decub­it­us ­beds ­for 15 ­days ­and 4) ­the ­absence of mechan­i­cal ­load on ­the ­area at ­least ­for 40 post­op­er­a­tive ­days.
Conclusions. Finally, we ­stress ­the impor­tance of decub­it­us pre­ven­tion ­which focus­es on ear­ly rec­og­ni­tion of troph­ic dam­age.

top of page