Primary Article
Treatment of Decubitus Ulcers in Paraplegic Patients: A Comparison of Three Topical Agents—Absorbable Gelatin Sponge, Gelatin Powder, and Enzyme Ointment
Abstract
AbstractA total of 150 decubitus ulcers in 82 para-quadriplegic patients were treated by the topical application of either powdered gelatin, absorbable gelatin sponge or enzyme ointment, after initial debridement. All three types of therapy appeared to be clinically equivalent so far as final healing time was concerned. Approximately half the ulcers in each treatment group were healed in six weeks. In our experience, the treatment of choice in small and medium-sized ulcers is complete debridement of the ulcer with surgery and/or an enzymatic agent, followed by regular applications of a topical agent such as powdered gelatin or enzyme ointment. Ulcers that are large or undermined usually require corrective surgery.This content is limited to qualifying members.
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