Complex Reconstructive Plastic Surgery for Bilateral Stage IV Pressure Injury Involving the Hip Joint in the Spinal Cord Injury Patient

Pressure ulcers represent an often complex problem for patients and health care providers and ancillary services. Patients who develop a pressure ulcer are at high risk for recurrence, and often can present with multiple wounds that require careful surgical planning to completely excise the diseased area, address concomitant precipitating or exacerbating factors, and provide coverage with adequate well-perfused soft tissue from the local region to allow for healing. In this case report, we present a patient with large, multiple stage IV pressure ulcers necessitating complex flap reconstruction in addition to the Girdle stone procedure for hip osteomyelitis and heterotopic ossification.