Osseous Involvement in Advanced Pressure Ulcers: Expert
Insights Into Classification Challenges and Clinical
Implications

J 2025

Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications

HOKYNKOVÁ, Alica; Petr ŠÍN; Dimitri BEECKMAN; Martin REPKO; Andrea POKORNÁ et al.

Základní údaje

Originální název

Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications

Autoři

HOKYNKOVÁ, Alica; Petr ŠÍN ; Dimitri BEECKMAN; Martin REPKO a Andrea POKORNÁ

Vydání

International Wound Journal, HOBOKEN, WILEY-BLACKWELL, 2025, 1742-4801

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.500 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00142231

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

osteomyelitis; EPUAP classification; pressure ulcers; recopnstruction

Štítky

14110217, 14110229, 14110611, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 24. 2. 2026 08:02, Mgr. Tereza Miškechová

Anotace

V originále

Osseous involvement represents a critical but often under-recognized component of advanced pressure ulcers. This expert commentary addresses the conceptual and diagnostic challenges related to the classification of bone exposure, osteitis, and osteomyelitis within deep pressure ulcers. Current international staging systems insufficiently distinguish between these entities, which may lead to diagnostic ambiguity, inconsistent documentation, and suboptimal clinical decision-making. Drawing on surgical, radiological, and microbiological perspectives, the authors emphasize the need for a more nuanced approach integrating anatomical depth, tissue viability, and infection status. Clarifying the terminology and classification of osseous involvement is essential for accurate staging, multidisciplinary communication, and optimization of timing and outcomes of reconstructive surgery.

Citovat

HOKYNKOVÁ, Alica; Petr ŠÍN; Dimitri BEECKMAN; Martin REPKO a Andrea POKORNÁ. Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications. International Wound Journal. HOBOKEN: WILEY-BLACKWELL, 2025, roč. 22, č. 8, s. 1-3. ISSN 1742-4801. Dostupné z: https://doi.org/10.1111/iwj.70722.

@article{2523918,
   author = {Hokynková, Alica and Šín, Petr and Beeckman, Dimitri and Repko, Martin and POKORNÁ, Andrea},
   article_location = {HOBOKEN},
   article_number = {8},
   doi = {https://doi.org/10.1111/iwj.70722},
   keywords = {osteomyelitis; EPUAP classification; pressure ulcers; recopnstruction},
   language = {eng},
   issn = {1742-4801},
   journal = {International Wound Journal},
   title = {Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications},
   url = {https://onlinelibrary.wiley.com/doi/10.1111/iwj.70722},
   volume = {22},
   year = {2025}
}

TY  - JOUR
ID  - 2523918
AU  - Hokynková, Alica - Šín, Petr - Beeckman, Dimitri - Repko, Martin - POKORNÁ, Andrea
PY  - 2025
TI  - Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications
JF  - International Wound Journal
VL  - 22
IS  - 8
SP  - 1-3
EP  - 1-3
PB  - WILEY-BLACKWELL
SN  - 17424801
KW  - osteomyelitis
KW  - EPUAP classification
KW  - pressure ulcers
KW  - recopnstruction
UR  - https://onlinelibrary.wiley.com/doi/10.1111/iwj.70722
N2  - Osseous involvement represents a critical but often under-recognized component of advanced pressure ulcers. This expert commentary addresses the conceptual and diagnostic challenges related to the classification of bone exposure, osteitis, and osteomyelitis within deep pressure ulcers. Current international staging systems insufficiently distinguish between these entities, which may lead to diagnostic ambiguity, inconsistent documentation, and suboptimal clinical decision-making. Drawing on surgical, radiological, and microbiological perspectives, the authors emphasize the need for a more nuanced approach integrating anatomical depth, tissue viability, and infection status. Clarifying the terminology and classification of osseous involvement is essential for accurate staging, multidisciplinary communication, and optimization of timing and outcomes of reconstructive surgery.
ER  -

HOKYNKOVÁ, Alica; Petr ŠÍN; Dimitri BEECKMAN; Martin REPKO a Andrea POKORNÁ. Osseous Involvement in Advanced Pressure Ulcers: Expert Insights Into Classification Challenges and Clinical Implications. \textit{International Wound Journal}. HOBOKEN: WILEY-BLACKWELL, 2025, roč.~22, č.~8, s.~1-3. ISSN~1742-4801. Dostupné z: https://doi.org/10.1111/iwj.70722.

Přehled o publikaci