[Effect of controlling the incidence of decubitus ulcers].
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Ten years of systematic treatment of pressure sores in a general psychiatric hospital (1983-1992) are reported on. Most of the patients were aged 65 years or older. The prevalence of pressure sores among them varied between 1.4 and 3.8%, whilst among younger patients the prevalence varied between 0 and 0.8%. Over the reported ten years the seriousness of the wounds decreased and prognoses improved. The percentage of healed patients increased from 56 in 1983 to round about 80 in the last few years. Over the years the number of patients with new pressure sores showed a varying course.
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In a group of 28 decubiti in 21 paraplegic patients, operated during the past five years the authors draw attention to the advantages of the use of three types of musculocutaneous (MC) flaps for surgical and radical treatment of ischial decubiti. The method using musculocutaneous flaps makes it possible to restore a relatively satisfactory cover of the defect by a multilayer long-lasting flap.
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