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[Electromyographic studies of myocutaneous sliding flaps for the covering of sacral decubitus ulcer].

Gluteus maximus myocutaneous sliding flaps from one or both sides are useful in covering deep, usually infected sacral pressure sores. Although skin is known to tolerate higher pressure in the covered area, muscle offers far better conditions for flap healing of infected defects. In spite of excellent early results, the long-term fate of the transposed muscle remains uncertain. An electromyography study was performed on eleven patients out of 29 with sliding gluteus maximus myocutaneous flaps in periods up to seven months after surgery. Our results show that signs of denervation parallel reinnervation and functional integrity of the transposed muscle.

Adult↗

[Prevention of decubitus, edema, contractures].

This paper presents a historical reminder of the development of medical care, a contemporary consideration of the division of care, as well as the definition of the term-quality medical care, and a review of the preventive measures for bed-sore, edema and contracture. In regard to the fact that care and therapy are a tightly bound process, they must also be applied as such. The definition of the term-quality medical care is an open question. The prevention of bed-sore, edema and contracture is the element of quality care.

Contracture↗

[Value of proximate musculocutaneous flaps for covering open wounds caused by decubitus ulcers].

Musculo cutaneous flaps help to cover the important tissues defects of the pressure sore. During 1988, two of our patients in general bad conditions, needed a quick simple treatment for bed sores involving joints. The patients, one who was paraplegic, the other tetraplegic, were suffering from joint lesions in the elbow and both knees. We carried out a musculo cutaneous flap of the brachio radialis and two of the gastrocnemius medialis, once septic conditions had improved. The simple procedure by transfer assured the cover of the skin defect. The results of the treatment being successful allow us to suggest this type of treatment being used in general traumatologic lesions affecting the elbow and knee joints.

Adult↗