1/5. pressure ulcers: an unusual complication of indwelling urethral catheter.INTRODUCTION: pressure ulcers are common among patients with spinal cord disorders (SCD) and occur due to unrelieved pressure on soft tissues. case reports: Two ladies with paraplegia following acute transverse myelitis developed pressure ulcers over medial aspects of thighs due to indwelling urethral catheter. Absence of sensation, weakness of both legs and lack of knowledge about catheter care contributed to ulcer formation. CONCLUSION: Indwelling urethral catheter may unusually result in pressure ulcers over the thighs in patients with SCD. Among health professionals involved in the care of these subjects awareness is essential for preventing this complication.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
2/5. Reinnervated medial gastrocnemius free flap for closure of a recurrent ischial pressure sore: case report.A 42-year-old T7 level paraplegic man had undergone multiple local flap transfers for closure of a recurrent left ischial pressure sore. When wound breakdown again occurred and regional flap transfers were no longer a possibility, a medial gastrocnemius free flap was transferred to the ischial region. Reinnervation of this flap was accomplished by interposing a sural nerve graft between a proximal intercostal nerve and the tibial motor nerve branch of the gastrocnemius muscle. Following the return of protective sensation, the patient has developed no new ischial pressure ulcerations.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
3/5. Medial antebrachial cutaneous-lateral femoral cutaneous neurotization to provide sensation to pressure-bearing areas in the paraplegic patient.Although rotation of musculocutaneous flaps can achieve closure of pressure sores, these insensitive flaps in the paraplegic or quadriplegic contribute to recurrent ulceration. This report suggests a method of reinnervating the territory of the lateral femoral cutaneous nerve (the tensor fascia lata musculocutaneous flap) using the medial antebrachial cutaneous nerve of the forearm. This neurotization procedure has restored sensibility to the area of the healed pressure sore.- - - - - - - - - - ranking = 4keywords = sensation (Clic here for more details about this article) |
4/5. methods of providing sensation to anesthetic areas.Loss of sensation in body areas subject to pressure, shearing forces, or changes in temperature can lead to pressure ulcers, necrosis, local infection, systemic sepsis and further tissue destruction. In the 6 cases reported here, sensation was restored to soft-tissue coverage to improve function and allow sustained healing. The musculocutaneous flap is very effective in wound closure in paraplegics and in patients with traumatic injury and extensive tissue loss.- - - - - - - - - - ranking = 6keywords = sensation (Clic here for more details about this article) |
5/5. Restoration of sensation in paraplegia by a sensory innervated plantar fillet free flap. Case report.Sensory denervation most likely is the key factor to the multiple physiological derangements that predispose paraplegic patients to recurrent decubitus ulceration. A sensory innervated plantar free flap offers the ability to provide soft tissue coverage and to regain sensory innervation of the ulcer prone area in patients with recurrent ulceration. We present a patient in which an innervated plantar free flap was used to restore sensation to the sacral area in a patient with recurrent ulceration.- - - - - - - - - - ranking = 5keywords = sensation (Clic here for more details about this article) |