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Treatment of severe (Stage III and IV) chronic pressure ulcers using pulsed radio frequency energy in a quadriplegic patient.

Porreca EG, Giordano-Jablon GM - Eplasty (2008)

Bottom Line: The ulcers (on right foot, left heel, and sacrum) markedly decreased in size (16.7, 28.5, and 13.1 mm(2) per day, respectively).The ulcer on the right foot healed within 4 weeks, the left heel ulcer reduced in size by 95% at 7 months, and the large sacral ulcer healed to closure in 11 months.Pulsed radio frequency energy treatment with basic wound care, if administered early in the course of pressure ulcer therapy, might avoid the lengthy hospitalizations and repeated surgical procedures necessary for treatment of uncontrolled ulcers, reducing the overall cost of treatment and improving the quality of life for chronically ill or injured patients.

View Article: PubMed Central - PubMed

Affiliation: Progressive Hospital, Las Vegas, Nevada, USA. dreporreca@egp.lvcoxmail.com

ABSTRACT

Objective: To report an adjuvant treatment to basic wound care of stage III and IV pressure ulcers in a patient with quadriplegia.

Methods: Pulsed radio frequency energy was used as an adjunct to basic wound care of 3 large, long-standing (6 years) stage III and IV pressure ulcers that were unresponsive to conventional therapy in a 59-year-old man with quadriplegia.

Results: The ulcers (on right foot, left heel, and sacrum) markedly decreased in size (16.7, 28.5, and 13.1 mm(2) per day, respectively). The ulcer on the right foot healed within 4 weeks, the left heel ulcer reduced in size by 95% at 7 months, and the large sacral ulcer healed to closure in 11 months.

Conclusion: Pulsed radio frequency energy treatment with basic wound care, if administered early in the course of pressure ulcer therapy, might avoid the lengthy hospitalizations and repeated surgical procedures necessary for treatment of uncontrolled ulcers, reducing the overall cost of treatment and improving the quality of life for chronically ill or injured patients.

No MeSH data available.


Related in: MedlinePlus

Sacral ulcer following 7 months of treatment with pulsed radio frequency energy with 88% reduction in surface area.
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Figure 2: Sacral ulcer following 7 months of treatment with pulsed radio frequency energy with 88% reduction in surface area.

Mentions: With twice-daily treatment, the 5-cm2 right lateral foot ulcer (stage III) healed to closure in 4 weeks, equating to a wound healing rate of 16.7 mm2/day; the left heel ulcer (stage III) decreased in size from 60 to 2 cm2 in 7 months (95% reduction; 28.5 mm2/day); and the large sacral ulcer (stage IV) (Fig 1) decreased from 295 to 20 cm2 in 7 months (88% reduction; 13.1 mm2/day; Fig 2), reaching full closure in 11 months.


Treatment of severe (Stage III and IV) chronic pressure ulcers using pulsed radio frequency energy in a quadriplegic patient.

Porreca EG, Giordano-Jablon GM - Eplasty (2008)

Sacral ulcer following 7 months of treatment with pulsed radio frequency energy with 88% reduction in surface area.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2568079&req=5

Figure 2: Sacral ulcer following 7 months of treatment with pulsed radio frequency energy with 88% reduction in surface area.
Mentions: With twice-daily treatment, the 5-cm2 right lateral foot ulcer (stage III) healed to closure in 4 weeks, equating to a wound healing rate of 16.7 mm2/day; the left heel ulcer (stage III) decreased in size from 60 to 2 cm2 in 7 months (95% reduction; 28.5 mm2/day); and the large sacral ulcer (stage IV) (Fig 1) decreased from 295 to 20 cm2 in 7 months (88% reduction; 13.1 mm2/day; Fig 2), reaching full closure in 11 months.

Bottom Line: The ulcers (on right foot, left heel, and sacrum) markedly decreased in size (16.7, 28.5, and 13.1 mm(2) per day, respectively).The ulcer on the right foot healed within 4 weeks, the left heel ulcer reduced in size by 95% at 7 months, and the large sacral ulcer healed to closure in 11 months.Pulsed radio frequency energy treatment with basic wound care, if administered early in the course of pressure ulcer therapy, might avoid the lengthy hospitalizations and repeated surgical procedures necessary for treatment of uncontrolled ulcers, reducing the overall cost of treatment and improving the quality of life for chronically ill or injured patients.

View Article: PubMed Central - PubMed

Affiliation: Progressive Hospital, Las Vegas, Nevada, USA. dreporreca@egp.lvcoxmail.com

ABSTRACT

Objective: To report an adjuvant treatment to basic wound care of stage III and IV pressure ulcers in a patient with quadriplegia.

Methods: Pulsed radio frequency energy was used as an adjunct to basic wound care of 3 large, long-standing (6 years) stage III and IV pressure ulcers that were unresponsive to conventional therapy in a 59-year-old man with quadriplegia.

Results: The ulcers (on right foot, left heel, and sacrum) markedly decreased in size (16.7, 28.5, and 13.1 mm(2) per day, respectively). The ulcer on the right foot healed within 4 weeks, the left heel ulcer reduced in size by 95% at 7 months, and the large sacral ulcer healed to closure in 11 months.

Conclusion: Pulsed radio frequency energy treatment with basic wound care, if administered early in the course of pressure ulcer therapy, might avoid the lengthy hospitalizations and repeated surgical procedures necessary for treatment of uncontrolled ulcers, reducing the overall cost of treatment and improving the quality of life for chronically ill or injured patients.

No MeSH data available.


Related in: MedlinePlus