Pressure Sores
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1. What pressure causes a sore? What pressure is on your ischial tuberosities right now?
2. How are pressure sores classified? Discuss the incidence and economics of pressure sores.
3. Read and discuss the classic article by Conway. (PRS 1964; 33:474)
4. How do you treat spasm? Should we do tenotomies?
5. What is the best cushion for a wheelchair?
6. What is the pressure generated by a Clinitron, Flexicare, and waterbed? How much do they cost? How does a Clinitron work?
7. Is hyperbaric oxygen (HBO) good for pressure sores?
8. How should you dress a pressure sore? Are things such as Silvadene, Duoderm, or Calcistat useful?
9. How do you diagnose and treat osteomyelitis in a pressure sore? (PRS 1988; 81:229)
10. Do patients get sepsis from pressure sores? What are the common bugs in pressure sores? Why do paraplegics die? Is it from sepsis from pressure sores?
11. Discuss the surgical principles of pressure sores as discussed in Selected Readings.
12. Does ischiectomy prevent recurrence?
13. You biopsy your patient’s pressure sore and it comes back squamous cell what do you do? What is the prognosis?
14. What is a girdlestone? (PRS 1993; 91:288)
15. What is the cure rate for pressure sore patients? (PRS 1992; 89:272)
16. How should flap patients be treated in the post-op period? (PRS 1997; 100:350)
17. Are muscle flaps better than fasciocutaneous flap? (PRS 1997; 100:1212)
18. Tell us how to do the following flaps: bilateral gluteus advancement flap, gluteal rotation and sliding flap, v-y semitendinous flap, TFL flap, posterior thigh flap, total thigh flap, vastus lateralis flap.