Biplanar flap reconstruction for pressure ulcers: Experience in patients with immobility from chronic spinal cord injuries

Anupama Mehta, Todd A. Baker, Margo Shoup, Kirstyn Brownson, Sewit Amde, Erin Doren, Samir Shah, Paul Kuo, Juan Angelats*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Surgical therapy for advanced-stage pressure ulcers recalcitrant to healing is a widely accepted practice. The present study examined the incidence of wound recurrence after reconstruction with fasciocutaneous versus combined (biplanar) muscle and fasciocutaneous flaps. Methods: A retrospective review identified 90 nonambulatory patients with spinal cord injury who underwent reconstruction for persistent decubitus ulcers from 2002 to 2008. Electronic medical records were surveyed for patient comorbidities and postoperative complications. Statistical methods included the Fisher exact test and the MannWhitney U test with a 2-sided P value of less than.05. Results: Among 90 patients reviewed, 33% (n = 30) received fasciocutaneous flaps and 66% (n = 60) underwent biplanar reconstruction. Comorbidities were the same between cohorts with the exception of a greater prevalence of diabetes in the biplanar group (27% vs 50%; P <.05). The incidence of recurrence for biplanar flaps (25%) was significantly lower than for fasciocutaneous reconstruction (53%; P <.01). Conclusions: Biplanar flap reconstruction should be considered for chronically immobilized patients at high risk for recurrent decubitus ulceration.

Original languageEnglish (US)
Pages (from-to)303-307
Number of pages5
JournalAmerican journal of surgery
Volume203
Issue number3
DOIs
StatePublished - Mar 1 2012

Keywords

  • Axial flap
  • Biplanar flap
  • Complication
  • Decubitus ulcer
  • Fasciocutaneous flap
  • Myocutaneous flap
  • Paraplegia
  • Quadriplegia
  • Reconstruction biplanar flap
  • Rotational flap

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Biplanar flap reconstruction for pressure ulcers: Experience in patients with immobility from chronic spinal cord injuries'. Together they form a unique fingerprint.

Cite this