Oral Communication

Evaluation of recurrence risk factors of pelvic pressure ulcer after primary flap reconstruction surgery in patients with spinal cord injury.

Ms Juliette MORELa, Dr Anthony GELISa, Dr Luc TEOTb, Dr Bouali AMARAc, Prof Arnaud DUPEYRONd, Prof Isabelle LAFFONTb

a Centre Mutualiste de Propara, b CHU Lapeyronie, Montpellier, c Clinique Clémentville, Montpellier, d CHU Carémeau, Nîmes

Objective: Pressure ulcers (PU) are common in persons with spinal cord injury (SCI). Flap reconstruction surgery for pelvic pressure ulcers has shown its effectiveness, but the rate of recurrence remains quite high (1). Few studies have focused specifically on recurrence risk factors of PU after surgery (2).
The objective of this study is to evaluate PU recurrence risk factors after primary flap reconstruction surgery in patients with SCI.

Material/Patients and method: Observational retrospective study based on patients’ medical charts during their various hospitalization stays. Subjects included in the study corresponded to all patients with SCI who benefited from primary flap coverage surgery for a pelvic PU in the Hérault department in France between January 1st 2006 and September 1st 2014. All studied risk factors are biological, psychological, sociological and behavioral, and related to pre-surgical, surgical and post-surgical care management. Patients were contacted by phone, after the final time-point of January 1st, 2015, to check on PU recurrence or non-recurrence.

86 patients were included. Males were predominant (67 men). Mean age at the time of surgery was 48.8 years. SCI level was cervical for 23 patients, thoracic for 59 patients and lumbar for 4 patients. Mean time since injury at surgery was 16 years. Recurrence and post-surgical complications rates as well as recurrence risk factors are undergoing analysis right now.

1. Sameem M and al. A systematic review of complication and recurrence rates of musculocutaneous, fasciocutaneous, and perforator-based flaps for treatment of pressure sores. Plast Reconstr Surg. juill 2012;130(1):67e77e.
2. Keys KA and al. Multivariate Predictors of Failure after Flap Coverage of Pressure Ulcers: Plast Reconstr Surg. juin 2010;125(6):1725?34.

Keywords : Pressure ulcer, recurrence, risk factor, spinal cord injury, flap surgery