[Surgical treatment of XXXX ].

@entity1 @entity3510 @entity1066 @entity272 @entity6227 @entity15 @entity130
In spite of the improved quality of medical care for paraplegic @entity1 , @entity1 with @entity15 or @entity3510 after severe @entity130 , the incidence of pressure sores has not diminished. Whilst superficial @entity1066 usually heal with conservative treatment, deep established pressure sores rarely heal satisfactorily without surgical intervention. The various surgical procedures for closure of @entity6227 with their classical localisation, i. e. sacral, trochanteric and ischial @entity1066 , are critically discussed. The myocutaneous flaps offer a wide range of choices for coverage. Sometimes, however, it may be difficult to provide a good quality myocutaneous flap at one operation. In this paper 400 @entity1 with extensive bed sores operated upon during the last 20 years in the Clinic for Plastic Surgery in Cologne, applying the "slide-swing plasty" are reported. Some principles of the slide-swing plasty are to be respected: The flap should be tailored to the size and the shape of the @entity272 . Three basic forms of the method can be applied. The flap is placed to exploit the skin reserves surrounding the defect. The flap thickness should extend as far as the muscles. The advantages of this method are as follows: Extensive bed sores can be closed. Sometimes two or three @entity1066 can be dealt within a single operation. Subsequent recurrences can be closed again using slide-swing plasty.
