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There are two surgical approaches to reconstruct a pressure ulcer (PU) one-stage reconstruction or two-stage reconstruction. One stage reconstruction consists of surgical debridement and flap reconstruction during one operation. Two-stage surgery consist of a surgical debridement and a final reconstruction in two different sessions, with approximately six weeks between both sessions. The aim of this study was to compare the results of single stage surgery and two-stage surgery on the PU recurrence rate and o