Incidence of Osteomyelitis in Sacral Decubitus Ulcers and Recommendations for Management

被引：5

作者：

Crespo, Alexander ^{[1
]}

Stevens, Nicole M. ^{[1
]}

Chiu, Ernest ^{[2
]}

Vinh Pham ^{[3
]}

Leucht, Philipp ^{[1
,4
]}

机构：

[1] NYU Langone Hlth, NYU Langone Orthoped, New York, NY 10016 USA

[2] NYU Langone Hlth, NYU Langone Plast Surg Associates, New York, NY USA

[3] NYU Langone Hlth, Div Infect Dis & Immunol, New York, NY USA

[4] NYU, Sch Med, Dept Cell Biol, New York, NY 10016 USA

来源：

JBJS REVIEWS | 2020年 / 8卷 / 06期

关键词：

PRESSURE ULCERS; DIAGNOSIS; OUTCOMES; PROTOCOL;

D O I：

10.2106/JBJS.RVW.19.00187

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Stage-4 pressure ulcers are defined as ulcerations that violate the fascia and expose underlying bone, muscle, and tendon.Exposed bone is always colonized by bacteria, but this does not necessarily lead to osteomyelitis.The rates of osteomyelitis in exposed bone in stage-4 pressure ulcers range from 14% to 86%.There has been no evidence that the presence of osteomyelitis leads to higher complication rates following flap coverage.There has been no evidence that bone biopsy and preoperative treatment of osteomyelitis have any benefit before flap coverage.

引用

页数：6

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