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An Overview of Sacral Decubitus Ulcer

  • Wound Care After Injury (H Kaafarani and J Goverman, Section Editors)
  • Published:
Current Trauma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Pressure injuries, known as decubitus ulcers, are a challenge to the healthcare community. One of the most common sites involved is the sacrum.

Recent Findings

There are four main factors that cause pressure injuries: pressure over bony prominence, shear force, destruction of skin, and compromised blood flow.

Summary

While primary prevention of pressure ulcers remains essential, sound wound care, optimization of nutrition, and secondary prevention of ulcer deterioration are the main components of management of this complex clinical entity. In addition, various novel surgical reconstruction flaps (e.g., V-Y fasciocutaneous advancement and gluteus maximus muscle rotation flaps) can help with early tissue coverage and fasten recovery.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL, 60064, USA

    Joana Abed Elahad

  2. Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA

    Maureen W. McCarthy

  3. Massachusetts General Hospital and Harvard Medical School, Bigelow 13, Fraser Outpatient Burn Center, 55 Fruit Street, Boston, MA, 02446, USA

    Jeremy Goverman

  4. Massachusetts General Hospital and Harvard Medical School, 165 Cambridge St, Suite 810, Boston, MA, 02114, USA

    Haytham M. A. Kaafarani

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Abed Elahad, J., McCarthy, M.W., Goverman, J. et al. An Overview of Sacral Decubitus Ulcer. Curr Trauma Rep 4, 263–272 (2018). https://doi.org/10.1007/s40719-018-0152-0

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