{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T08:37:46Z","timestamp":1782808666656,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,10,17]],"date-time":"2013-10-17T00:00:00Z","timestamp":1381968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this study was to analyse the effectiveness of an interdisciplinary cooperation between conservative and surgical disciplines for the treatment of pressure sores (<jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content>). From January 2004 to December 2005, a single\u2010centre study was performed with paraplegic and tetraplegic patients presenting with <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> grades III\u2013V. Outcome measures were defect size, grade, method of reconstruction, complication and recurrence rate as well as average length of hospitalisation. A total of 119 patients aged 22\u201384\u2009years with totally 170 <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> were included. The most common <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> were located in the ischial region (47%), followed by the sacral (18%), trochanteric (11%), foot (9%) and the malleolar (8%) regions. Defect sizes ranged between 4 and 255\u2009cm<jats:sup>2<\/jats:sup>. Grade <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> was the most common <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> (68%), followed by grade <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> (30%) and grade V (2%) <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content>. For wound closure, fasciocutaneous flaps were used most frequently (71%), followed by skin grafts (10%) and myocutaneous flaps (7%). Postoperative follow\u2010up ranged between 6 and 38\u2009months. The overall complication and recurrence rate was 26% and 11%, respectively. If no complication occurred, the average duration of hospitalisation stay after the first debridement was 98\u2009\u00b1\u200962\u2009days. In conclusion, our treatment concept is reliable, effective and results in a low recurrence rate. The complication rate, even though favourable when compared with the literature, still needs to be improved.<\/jats:p>","DOI":"10.1111\/iwj.12166","type":"journal-article","created":{"date-parts":[[2013,10,17]],"date-time":"2013-10-17T09:56:40Z","timestamp":1382003800000},"page":"572-576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Local flap therapy for the treatment of pressure sore wounds"],"prefix":"10.1111","volume":"12","author":[{"given":"Reto","family":"Wettstein","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive, Aesthetic and Hand Surgery University Hospital of Basel Basel Switzerland"},{"name":"Swiss Paraplegic Center Nottwil Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Tremp","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Aesthetic and Hand Surgery University Hospital of Basel Basel Switzerland"},{"name":"Swiss Paraplegic Center Nottwil Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Baumberger","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Center Nottwil Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk J","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Aesthetic and Hand Surgery University Hospital of Basel Basel Switzerland"},{"name":"Swiss Paraplegic Center Nottwil Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel F","family":"Kalbermatten","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Aesthetic and Hand Surgery University Hospital of Basel Basel Switzerland"},{"name":"Swiss Paraplegic Center Nottwil Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100467"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.1987.tb00541.x"},{"key":"e_1_2_7_4_1","first-page":"22","article-title":"Pressure ulcers, hospital complications, and disease severity: impact on hospital costs and length of stay","volume":"12","author":"Allman RM","year":"1999","journal-title":"Adv Wound Care"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-123-6-199509150-00008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01156.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-965311"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(18)30152-6"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0283-9318.2003.00250.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0261-5614(91)90002-T"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1994.tb06853.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2165\/11318340-000000000-00000"},{"key":"e_1_2_7_13_1","first-page":"70","volume-title":"St\u00f6rfall decubitus","author":"Seiler WO","year":"2012"},{"key":"e_1_2_7_14_1","first-page":"225","article-title":"Diagnosis and classification of pressure ulcers and other skin lesions: interrater reliability and agreement","volume":"62","author":"Kottner J","year":"2009","journal-title":"Pflege Z"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(56)90327-0"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31823af1fb"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20982"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.12.092"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(97)90548-8"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1997.01430320070011"},{"key":"e_1_2_7_21_1","first-page":"162","volume-title":"St\u00f6rfall decubitus","author":"de Roche R","year":"2012"},{"key":"e_1_2_7_22_1","first-page":"30","article-title":"Decubitus ulcers: treatment through five therapeutic principles","volume":"40","author":"Seiler WO","year":"1985","journal-title":"Geriatrics"},{"key":"e_1_2_7_23_1","first-page":"53","article-title":"Decubitus ulcers: preventive techniques for the elderly patient","volume":"40","author":"Seiler WO","year":"1985","journal-title":"Geriatrics"},{"key":"e_1_2_7_24_1","first-page":"406","article-title":"Paraplegia (general bilateral paralysis, transverse paralysis) and occupational therapy","volume":"16","author":"Guttman L","year":"1952","journal-title":"Veska"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-011-9721-0"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198310000-00016"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198908000-00018"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199202000-00012"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2000.17828"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247716"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809010-00022"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/3-211-27577-0_32"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12166","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T22:08:57Z","timestamp":1696198137000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,17]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/iwj.12166"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12166","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,17]]},"assertion":[{"value":"2013-10-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}