Coverage of Giant Sacral Sore With a Gastrocnemius Myocutaneous Flap Pedicled With Femoral Vessels After Thigh Amputation
Bibliographic record
Abstract
The purpose of this report was to present the results of coverage of giant sacral sores with a gastrocnemius myocutaneous flap pedicled with femoral vessels after thigh amputation. Between June 1989 and April 2010, 10 patients with paraplegia having giant sacral pressure sores underwent early aggressive surgical debridement followed by surgical reconstruction with a gastrocnemius myocutaneous flap pedicled with femoral vessels after thigh amputation. The spinal cord injury was secondary to trauma in 8 patients and non-traumatic in 2 patients. The wounds measured between 8 cm × 26 cm and 26 cm × 30 cm. The post-operative course was uneventful in 8 patients. Partial flap necrosis occurred in 2 patients who were treated with skin grafts. The follow-up period ranged from 12 to 96 months. There was no recurrence of the sore in any patient. This technique may be a treatment option for the repair of huge sacral bedsores in the absence of other reliable methods for patients with paraplegia.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".