A Case of Pressure Ulcer Due to Instrumentation Bolts in the Sacrum

DOI
  • Ukai Kyoko
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Daito Junko
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Saito Yumi
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Takenaka Hideya
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Katoh Norito
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Kishimoto Saburo
    Department of Dermatology,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Morioka Shigemi
    Department of Pediatrics,Graduate School of Medical Science Kyoto Prefectural University of Medicine
  • Hosoi Hajime
    Department of Pediatrics,Graduate School of Medical Science Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title
  • 仙骨部の骨固定用ボルト部に生じた褥瘡の1例

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Description

The patient was a seventeen-year-old male diagnosed with Ewing’s sarcoma in the sacrum at age 13. Sacroiliac tumorectomy and fixation with metal bolts and plates had been performed at age 15. He had been in bed for 6 months prior to his first visit to our department due to paralysis of the bilateral sciatic nerve caused by tumorectomy. Development of an ulcer consistent with the site of extrusion of a fixed metal bolt in the sacral region was observed. Since removal of the bolt was judged to be difficult, conservative treatment was conducted. Prevention of infection was considered essential since the metal bolt was attached to the plate supporting the pelvis. The patient was treated in our department on consecutive days to control infection and to reduce the pressure as much as possible. No infection occurred in the lesion for 8 months until death due to the tumor.

Journal

  • Hifu no kagaku

    Hifu no kagaku 8 (2), 148-151, 2009

    Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association

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