How are muscle pressure injuries (pressure ulcers) repaired?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Multiple pressure injuries may be observed in the same patient. Reconstruction of multiple injuries may require the use of a total thigh flap (see the image below). The total thigh flap is a long and formidable operation that typically involves the transfusion of 6-20 units of blood. It should be reserved for use as a salvage procedure when other attempts have been unsuccessful. Patients who have undergone a unilateral total thigh flap can sit a wheelchair (see image below).

Patient required reconstruction of extremely large Patient required reconstruction of extremely large pressure ulcer with fillet total thigh flap procedure.

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