Dr. Sadik collaborates with the Wound Center physicians, nutritionists, home care assistants and social workers to help those who have developed pressure ulcers. They are often seen in patients who have spinal cord injuries or are non-ambulatory. Many factors must be addressed for the resolution of pressure ulcers and once those are optimized, surgical reconstruction may be performed. Methods for pressure ulcer reconstruction are:
Skin grafts – a superficial portion of skin without blood supply taken to cover an open wound or defect
Local/Regional Flaps- flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
Free Flaps (microsurgery) – flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.