Case: A 17-year-old adolescent boy with Gross Motor Function Classification System 5 cerebral palsy and neuromuscular scoliosis underwent posterior spinal fusion and segmental spinal instrumentation from T3 to the pelvis. He developed a right ischial pressure injury a few months postoperatively, which persisted despite nonoperative measures. He subsequently underwent an ipsilateral transiliac-shortening osteotomy 16 months after spinal surgery to treat his residual pelvic obliquity and the ischial pressure injury, which healed completely. At the 1-year follow-up visit, there were no further signs of pressure injury.
Conclusion: This case report describes transiliac-shortening osteotomy as a viable treatment option for non-healing ischial pressure injuries secondary to fixed pelvic obliquity.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2106/JBJS.CC.23.00557 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Sitting pressure during wheelchair propulsion and handcycling: effects of backrest angle, movement intensity and cushion type.
Disabil Rehabil Assist Technol
November 2024
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
The main aim of this study was to compare sitting pressure (peak pressure index (PPI) and peak pressure gradient (PPG)) between a daily wheelchair and fixed-frame handcycle, thereby assessing the effect of handcycle backrest angle, movement intensity and cushion type. Twenty able-bodied participants performed static and dynamic (two intensities) tests in a wheelchair and handcycle. A honeycomb wheelchair cushion and standard foam handcycle cushion were used.
View Article and Find Full Text PDF[Biological total hip arthroplasty combined with impacting bone grafting for the treatment of moderate to severe acetabular invagination secondary to rheumatoid arthritis].
Zhongguo Gu Shang
November 2024
Department of Joint Surgery, the 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730050, Gansu, China.
Objective: To explore the surgical technique and clinical outcomes of biological total hip arthroplasty(THA) combined with impacting bone grafting for the treatment of moderate to severe acetabular invagination secondary to rheumatoid arthritis(RA).
Methods: Total of 20 patients(28 hips) with RA secondary to acetabular invagination were treated with THA of bioprosthesis combined with autogenous bone grafting from January 2012 to October 2020, including 5 males(8 hips) and 15 females(20 hips) with an average age of (55.10±4.
Padding the seat of a wheelchair reduces ischial pressure and improves sitting comfort.
Drug Discov Ther
November 2024
Department of Rehabilitation, Seiyu Memorial Hospital, Wakayama, Japan.
In this study, we aimed to examine whether a wheelchair cushion placed directly atop a sling seat or deflection of the sling seat compensated by a pad along with the placement of a wheelchair cushion changed sitting pressure. Additionally, we examined whether these additions changed sitting comfort. For twenty healthy adults who consented to participate, measurements were taken for three types of cushions, each with and without padding, under six conditions.
View Article and Find Full Text PDFTissue Oxygenation in Individuals with Spinal Cord Injury: A Pilot Study.
Adv Exp Med Biol
October 2024
Institute of Complementary and Integrative Medicine, University of Bern, Bern, Switzerland.
Article Synopsis
- Pressure injuries (PI) are serious tissue lesions that heal slowly and can lead to infections, primarily affecting individuals with spinal cord injuries (SCI) due to their reduced mobility and sensation.
- A new alert system utilizing a textile-based near-infrared spectroscopy (NIRS) sensor was developed to monitor tissue oxygen levels (StO) in high-risk areas, such as the buttocks, to prevent PIs.
- Initial tests demonstrated that ST decreased during prolonged sitting, with SCI subjects experiencing a sharper decline, but recovery was observed, showing the sensor's effectiveness without causing skin irritation.
Development of low-cost pressure mapping device to evaluate force distribution for seat cushion modification.
Sci Rep
September 2024
Department of Biomedical Engineering, Faculty of Engineering, Mahidol University, Phuttamonthon, Nakhon Pathom, Thailand.
This study aimed to determine the reliability and concurrent validity of a low-cost pressure mapping system (Smart mat) and reference standard pressure mapping (MatScan). Thirty healthy volunteers aged 29.57 ± 4.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!