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Research Letter
Association of VA Surgeons
January 2016

Pedicled Flap Reconstruction for Patients With Pressure UlcersComplications and Resource Utilization by Ulcer Site

Author Affiliations
  • 1Division of Plastic, Aesthetic, and Reconstructive Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida
JAMA Surg. 2016;151(1):93-94. doi:10.1001/jamasurg.2015.3228

Pressure ulcers are pervasive and pose a unique burden on the current health care system owing to their association with prolonged hospitalizations and increased costs for patients with chronic medical conditions. These wounds occur frequently in patients with neurological conditions causing immobility and are a significant and common source of patient morbidity. Blocksma et al1 initially described muscle flap coverage for paraplegic patients in 1949. Pedicled flap reconstructions, such as the posterior and anterolateral thigh flaps and, more recently, the vastus lateralis myocutaneous flap, have been used in advanced cases with extensive loss of soft tissue or exposed bony structures.24

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