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CONCLUSION: Flap reconstruction remains essential in the management of pediatric pressure ulcers. However, surgery is only part of the treatment required for these complex patients. Unlike prior studies, our work shows similar recurrence in children compared to adults. We conclude that flap reconstruction should only be performed in patients and families compliant with non-operative elements of care. Additionally, surgeons should be aware of the nature and importance of the various biopsychosocial factors that perpetuate ulcers and inhibit wound healing, and optimize these factors preand post-operatively.

Abstract: Pediatric Open Tibial Fractures in the United States: Analysis of Incidence, Operative Strategies and Resource Utilization over 15 Years