Evidence-Based Medicine: The Evaluation and Treatment of Pressure Injuries

Pressure injuries are a common problem associated with great morbidity and cost, often presenting as complex challenges for plastic surgeons. Although the cause of these wounds is largely prolonged pressure, the true pathogenesis involves many other factors, including friction, shear, moisture, nutrition, and infection. This article outlines a systematic approach to evaluating and staging pressure injuries, and provides strategies for treatment and prevention. Critical to surgical intervention is thorough debridement, including any involved or causative bony tissues, and postoperative management to prevent wound dehiscence and recurrence.