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이인주,임풍,곽청근,위성신,조성필,이희영 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.1
Trochanteric pressure sores often present with minimal skin involvement and extensive bursae formation. The mobile nature of the trochanter predisposes these ulcerations to extensive undermining and hip infection such as osteomyelitis and pyarthrosis. In these patients, debridement, cutrettage, and soft-tissue coverage frequently fails to control infection and results in failure of reconstruction. Resection of femoral head and neck, and wide debridement of the hip joint like Girdlestone operation is required for this complicated condition. Trochanteric or ischial sores complicated by infection of hip joint are rarely reported. From 1989 to 1993 five paraplegic patients with trochanteric sores were found to have infection of ipsilateral hip joint. All patients had multiple sores and clinical symptoms of fever and chillness. Among them, four patients were successfully treated by Girdlestone operation and coverage of skin defects with tensor fascia latae flap. One patient was treated by curettage and drainge. For the definitive treatment of trochanteric sores complicated by hip infection, it is important to evaluate clinical symptoms and radiologic findings and to resect proximal femur as well as infected soft tissues.
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