๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Indications
Indications
In general, surgical reconstruction is only necessary in patients with full-thickness, stage III or IV decubitus ulcers after failure of conservative therapy.105 The choice of flap should be determined on a case-by-case basis, as the method of reconstruction depends on the size and location of the defect. A fasciocutaneous flap is most appropriate when subcutaneous tissue loss is minimal, allowing the flap to adequately fill the defect.117 They may also be preferred over myocutaneous flaps in ambulatory patients to prevent motor disturbance.109