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Correspondence and Brief Communications
April 1998

Principles in the Operative Treatment of Pressure Sores

Arch Surg. 1998;133(4):465. doi:

We read with great expectations the article from Foster et al1 in the August issue of the ARCHIVES, in which the authors develop a rationale for flap selection. We hoped to find answers to questions raised when we read their similar article2 1 month ago, which used the same results and conclusions while focusing only on ischial pressure sore coverage. Unfortunately, we again found simply a ranking of flaps according to their primary healing rate. While we congratulate the authors on their convincingly high 89% success rate, we would like to see an explanation of why the flap recommended as the first choice should be superior to the second-choice flap, and why the same flap is superior when applied to one location but should be avoided in the next.

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