Causes and common locations of bedsores in fracture patients

We used to introduce long-term bedridden elderly and paraplegic patients as high-risk groups of bedsores, but there is another group of people that cannot be ignored - fracture patients.

Pressure ulcers are one of the common complications of orthopaedics. Due to the perioperative and convalescent period of fracture patients, 80% of the patients need to stay in bed for a long time, and the local tissue will be under pressure for a long time, which can easily lead to blood circulation disorders and soft tissue necrosis, which not only reduces the patient's health. The quality of life is not conducive to the treatment and recovery of fractures. Clinical statistics indicate that 60% to 70% of orthopaedic patients will have bedsores. Obviously, bedsores have become a difficult and important point in orthopaedic clinical care.

Causes of bedsores in patients with fractures:

1. Sacrococcygeal pressure ulcers

Due to the special physiological structure of the sacrococcygeal region, the probability of decubitus ulcers is high. The sacrococcygeal region does not have enough muscle attachment to form effective protection, and also lacks sufficient adipose tissue protection. When the patient is in bed, this part is close to the bed, and the pressure lasts for a long time, and it is subject to long-term friction and shearing force. Sustained action will cause serious obstacles to local blood circulation and increase the possibility of bedsores.

2. Heel sores

Most of the pressure ulcers in this part are caused by the fixation with traction plaster after the foot fracture. This part is just at the farthest end of the human limb, the blood transportation is insufficient, and there is not enough muscle and fat attachment to protect it. , which makes it easy to produce pressure ulcers. Wrap the affected limb with traction and fixation plaster, which will cause serious obstacles to blood return, which has become one of the external factors for the occurrence of pressure ulcers in this area.

3. The patient's own conditions, such as advanced age, thin constitution, and nutritional deficiencies, are all important factors that greatly increase the probability of bedsores.

4. The main environmental factor that promotes the appearance of bedsores is humidity. When the plaster bandage splint is used, the local environment is relatively closed and the air permeability is poor. 5

5. At the same time, there are also some external environments where nursing measures are not taken properly, and the beds are hard, etc.