Turk J Phys Med Rehab, 2018 · DOI: 10.5606/tftrd.2018.2175 · Published: November 5, 2018
Pressure ulcers (PUs) are a common and serious complication for individuals with spinal cord injuries (SCI), leading to increased illness and risk of death. These ulcers often occur on the sacrum, heel, and ischium due to prolonged pressure. Preventing PUs is crucial, and while early-stage ulcers can heal with pressure relief, more severe ulcers often require surgery. However, healing can be challenging due to insufficient soft tissue in deep ulcers, making plastic surgery a recommended option for those seeking faster recovery. This study investigates the recurrence rates of PUs in SCI patients who underwent reconstructive surgery and were jointly monitored by plastic surgery and physical medicine rehabilitation teams, aiming to identify effective strategies for preventing recurrence.
Highlights the importance of a multidisciplinary approach involving plastic surgery and physical medicine & rehabilitation for managing and preventing pressure ulcer recurrence in SCI patients.
Emphasizes the need for strict post-operative follow-up protocols, including patient education on skin care and pressure-lowering methods, to reduce recurrence rates.
Suggests the incorporation of regular pressure relief exercises into rehabilitation programs to lower the risk of pressure ulcer recurrence in SCI patients after surgical reconstruction.