ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ VẾT LOÉT LÂU LIỀN CHI DƯỚI Ở NGƯỜI LỚN TUỔI

Abstract

Objective: Evaluation results treatment of long-term lower extremities ulcer in elder at Thong Nhat hospital. Materials and methods: 40patients aged 60 and over with long-term ulcers of lower extremities due to many causes are treated at the Department of Trauma and Orthopedics from January 2018 to January 2019. Results: There are 20 cases of skin grafting with the survival rate of 75 - 100%, 4 cases being transformed to cover flap with 3 completely successful flaps; 8 cases of skin flap transfer with lower legs, completely successful peripheral stem flaps. Transfer fat flap with 4 cases of slow healing. In addition, there are 4 successful twins flap transfers. Conclusion: Lower limb ulcers have a variety of causes, most commonly in the ankles and feet; Progressing over a long period of time, often revealing tendons, bones and patients with severe comorbidity. Treatment of ulcers for long-term healing of lower extremities requires surgical intervention. Systemic treatment followed by skin grafting; skin flap transfer contributes to faster recovery of ulcers.