September 1987

Bilateral Hip Disarticulation in Paraplegics With Decubitus Ulcers

Author Affiliations

From the Department of Surgery, University of Iowa College of Medicine, Iowa City (Dr Lawton), and the Surgical Service, Veterans Administration Medical Center, Des Moines (Drs Lawton and De Pinto).

Arch Surg. 1987;122(9):1040-1043. doi:10.1001/archsurg.1987.01400210078011

• A small percentage of paraplegic patients develop chronic decubitus ulcers that are unresponsive to the usual plastic surgical maneuvers. We used anatomic and nonanatomic (filleting) approaches to hip disarticulation in three patients with severe chronic cavernous decubitus ulcers. All patients were rehabilitated to wheelchair ambulation, with subsequent healing of the operative sites. This type of therapy might be considered in paraplegics with less compelling reasons for amputation, because of the associated rehabilitation potential.

(Arch Surg 1987;122:1040-1043)