Related Experiment Videos
[Decubitus ulcer in paraplegic patients--a comparative clinico-pathologic study]
1Institut für Pathologie der Krankenhäuser des Märkischen Kreises GmbH, Lüdenscheid.
Unfallchirurgie
|December 1, 1988
Summary
Histological analysis of 331 pressure sores in paraplegia patients revealed significant bone and soft tissue damage, often localized over the ischium. Chronic osteomyelitis was prevalent, justifying aggressive surgical treatment for these debilitating decubitus ulcers.
Area of Science:
- Orthopedics
- Dermatology
- Pathology
Context:
- Pressure sores are a common complication in patients with paraplegia.
- Understanding the histological and radiological features of these sores is crucial for effective management.
Purpose:
- To investigate the histological characteristics of pressure sores in paraplegic patients.
- To correlate histological findings with radiological features.
- To assess the prevalence and severity of associated bone and soft tissue infections.
Summary:
- Histological examination of 331 pressure sores in 141 paraplegic patients showed lesions primarily over the ischium (64%).
- Chronic osteomyelitis was present in 28.5% of cases, with 73.6% of these cases correctly diagnosed radiologically.
- Pseudocancerosis was observed in 14.2% of sores, and one case of cancer in a sacral decubitus was noted.
Impact:
- The high incidence and severity of dermal and bony lesions support the current practice of radical surgical therapy for pressure sores.
- Findings underscore the need for advanced diagnostic and therapeutic strategies for pressure sore complications in paraplegia.