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Your search keyword '"Gruhl, L."' showing total 2 results
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2 results on '"Gruhl, L."'

1. [Electromyographic studies of myocutaneous sliding flaps for the covering of sacral decubitus ulcer].

Author

Grabosch A, Gutjahr L, Gruhl L, and Bruck JC

Subjects
Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Muscles transplantation, Sacrum, Skin Transplantation, Electromyography, Muscles physiology, Pressure Ulcer surgery, Surgical Flaps
Abstract

Gluteus maximus myocutaneous sliding flaps from one or both sides are useful in covering deep, usually infected sacral pressure sores. Although skin is known to tolerate higher pressure in the covered area, muscle offers far better conditions for flap healing of infected defects. In spite of excellent early results, the long-term fate of the transposed muscle remains uncertain. An electromyography study was performed on eleven patients out of 29 with sliding gluteus maximus myocutaneous flaps in periods up to seven months after surgery. Our results show that signs of denervation parallel reinnervation and functional integrity of the transposed muscle.

Published
1991

2. More Arguments in Favor of Myocutaneous Flaps for the Treatment of Pelvic Pressure Sores

Author

A Grabosch, R. Büttemeyer, Johannes C. Bruck, and Gruhl L

Subjects
Male, medicine.medical_specialty, Swine, Pressure sores, Electromyography, Surgical Flaps, Necrosis, Myocutaneous Flaps, medicine, Animals, Humans, Skin pathology, Skin, Pressure Ulcer, medicine.diagnostic_test, business.industry, Muscles, Osteomyelitis, Bacterial Infections, medicine.disease, Surgery, Adipose Tissue, Female, business
Abstract

The use of myocutaneous flaps for the treatment of pelvic pressure sores is well accepted, yet there are still unanswered questions about why myocutaneous flaps are clinically superior to skin flaps. An experiment involving 16 pigs revealed new data on the diffusion of infection through myocutaneous and cutaneous flaps, showing that the muscles can act as a barrier against such infection. In 51 patients seen consecutively in 1988, osseous specimens of the infected bottom of the decubital ulcers were taken. There was florid osteomyelitis in 65.9% of all specimens, further emphasizing the importance of muscle flaps in the treatment of pelvic pressure sores when infection is still present. The fate of 16 transposed gluteus maximus muscles was monitored by electromyography postoperatively; 15 still showed voluntomotoricity up to 7 months after transposition.

Published
1991
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