ABSTRACT
Background: Pressure ulcers remains a major problem in bed ridden patients, due to many diseases
Objective: To determine the outcome of surgery in the management of pressure ulcers in paralyzed patients
Patients and Methods: Study design: This was a cross-sectional study. Duration and place of study: The study was conducted from 1[st] June 2007 to 30[th] June 2013 in the Department of Plastic and Reconstructive Surgery, Bahawal Victoria Hospital, Bahawalpur. After following inclusion and exclusion criteria patients were admitted. Their serum chemistry was sent. Patients with uncontrolled diabetes, anemia and improper care were excluded. Patients and their attendants were educated about the proper care of patient and send to home for a month. After one month they were called for follow-up and patients who followed directions were selected for surgery. After surgery, the outcome was measured in terms of recurrent infection. The data was entered and analyzed by using SPSS version 10
Results: Twenty-three patients were selected for surgical management. Most common pressure ulcers were sacral sores [47.8%] followed by ischial [34%] and trochanteric ulcers [17%]. Ischial Ulcers were most difficult one to treat with 37% recurrence. Pressure ulcers have high overall recurrence rate of 26%. Different types of musculocutaneous flaps were used
Conclusion: All types of flaps used for reconstruction have comparable results