Bedsores are the result of prolong immobilization. Therefore meticulous nursing care and proper equipment like water/air beds are of utmost important in preventing them.

Bedsores can develop in as early as 48hrs of immobilization if associated with hypotension. Once developed , they are difficult to treat. Performing dressing are cumbersome and arduous.

In some cases local flaps can be used to close the defects. These procedure provide significant relief to the patients as well as the care givers  as they reduce the frequency of dressings and also eliminate a potential source of infection.

Stage IV bed sore over sacrum

Debridement & primary closure with local flaps

Stage IV bed sore over trochanter

Debridement & primary closure with rotation flap