Abstract:

BACKGROUND: Decubitus ulcer is a common complication in paraplegia patients. Severe decubitus ulcer is difficult to cure by conservative therapies.
OBJECTIVE: To explore the therapeutic efficacy of flap and musculocutaneous flap grafting plus irrigation in the repair of multiple decubitus ulcers after paraplegia
METHODS: A total of 16 paraplegia patients with multiple decubitus ulcers who received medical service in the Department of Burn and Plastic Surgery of Beijing Jishuitan Hospital from January 2007 to December 2010 were included. All cases were combined with different degrees of bone destruction. Surgery involved wound debridement and bone scraps, sequestrum, scars and infected granulation tissues were removed. Then the wound surfaces were covered by flap or musculocutaneous flap. The wounds were irrigated after operation．
RESULTS AND CONCLUSION: Wounds in all 16 cases healed by first intention. No recurrence was found in the 3rd month follow-up after patients leaving the hospital. Flap and musculocutaneous flap grafting plus irrigation is effective to cure the multiple decubitus ulcers after paraplegia.