Lschial Sores

  • Lschial Sores

    The cavity of the ulcer consists of the ischial bursa but, as the condition progresses and extends, the ischial tuberosity increasingly pro-jects into the cavity and becomes the seat of chronic osteitis. An advance in the treatment of this type of ulcer has been reduction of the prominence of the ischial tuberosity jointly with the […]

  • Tensor Fascioe Latae Flap

    In the lateral aspect of the thigh the fascia lata is markedly thickened to form the iliotibial tract, receiving into its upper part the insertions of glu-teus maximus behind and tensor fasciae latae further forward. As the tract passes distally it overlies vastus lateralis but there is no attach-ment between the two structures. Although the […]

  • Paraplegic Pressure Sores

    Although discussion of pressure sores in the paraplegic patient is confined to the problems of reconstruction, it cannot be emphasised too strongly that the procedures to be described for the various types of decubitus ulceration are only a small facet in the overall care of the paraplegic, and they must be regarded as merely providing […]

  • Vascularised Fibular Transfer

    The fibula derives its blood supply from branches of the anterior tibial and the peroneal vessels, but when it is transferred as a vascularised bone graft, the peroneal vessels are the sole perfusion source. The peroneal artery is described as a branch of the posterior tibial artery, arising just below the divi-sion of the popliteal […]

  • Scapular Flaps

    These flaps are perfused by branches of the circumflex scapular artery and its associ-ated veins. The artery is formed by division of its parent vessel, the subscapular, itself a branch of the axillary artery. The subscapular artery passes down on the posterior wall of the axilla for approximately 4 cm, where it divides into the […]

  • Pressure Sore Management

    NON-PARAPLEGIC PRESSURE SORES The usual sites of pressure sores in the non-para-plegic are the sacral area and heel, occasionally the iliac crest, and the background to their occur-rence is immobility of the patient. Although immobility is ultimately responsible for the local pressure being prolonged for sufficiently long to produce the local ischaemia which leads to […]

  • Management

    If a keloid is surgically excised, the probability that the resulting scar will develop into a fresh keloid is extremely high, and the more florid the keloid the greater the probability. For this reason surgery of keloids is generally to be avoided. However, when the scar is hypertrophic rather than keloid and is bridging a […]

  • The Clinical Picture

    A precise picture of the condition is difficult to draw, for clinical generalisations do not necessarily apply to the individual case and the condition itself is extremely variable and unpredictable. In the description which follows, the term keloid will be used to cover both conditions. The tendency to develop keloids appears to diminish with age, […]

  • Omental Flap

    The surgeon is occasionally confronted with a large defect which requires reconstruction without delay, which will not accept a free skin graft, and for which, for technical reasons, no flap is suitable, whether skin, fasciocutaneous, muscle or myocutaneous, pedicled or free. The sites most likely to give rise to such a problem are the scalp […]

  • Hypertrophie Sears And Keloids

    When a scar, instead of becoming soft and pale in the usual manner, becomes red and thickened it is described as being either a hypertrophic scar or a keloid. These terms tend to be used rather indiscriminately, probably because it is difficult to define each with certainty. The hypertrophic scar is raised above the level […]