Outcome of subtrochanteric femur resection in patients with spinal cord injuries

Ohlmeier, Malte; Bode, Annika; Suero, Eduardo M.; Grasmuecke, Dennis; Aach, Mirko; Meindl, Renate; Schildhauer, Thomas A. und Citak, Mustafa (2018): Outcome of subtrochanteric femur resection in patients with spinal cord injuries. In: Journal of Wound Care, Bd. 27, Nr. 11: S. 774-778

Abstract

Objective: To analyse the clinical outcome of subtrochanteric femur resection in patients with infected hip joints caused by pressure ulcers (PUs) in patients following spinal cord injury (SCI). Method: A retrospective cohort study, carried out between January 2004 and December 2015. Only patients receiving a subtrochanteric femur resection were included. SCI patients were treated for a hip joint infection caused by a PU. Primary outcome measures were to work out the revision rates and the rate of heterotopic ossification occurrence. Results: At the time of admission, 37 out of the 56 participating patients (66.1%) showed a category IV PU with the ischium being most commonly affected (n=25, 44.6%). The subtrochanteric femur resection was combined either with a direct wound closure (n=29;51.8%) or a myocutaneous flap (n=27;48.2%). The mean number of surgeries was 2.6 (1-4;SD=1.6) and 21 patients were successfully treated by a single surgery. Of the patients, 28 had wound healing disorders (50%) and required a revision surgery, and 24 (42.9%) developed a postoperative heterotopic ossification. Conclusion: Hip joint infection caused by PUs can be treated with subtrochanteric femur resection. However, the number of postoperative complications is still high. Declaration of interest: The authors have no professional or financial affiliations to declare that may have biased this study.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0969-0700
• Sprache: Englisch