Muscle Free Flap Transplantation in Chronic Osteomyelitis of the Lower Extremities

Lee,  Jun Mo; Song,  Kwang Hun; Park,  Jong Hyuk

doi:2009.18.2.49

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Arch Hand Microsurg > Volume 18(2); 2009 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2009;18(2):49-54.
Published online November 30, 2009.
DOI: https://doi.org/10.12790/jkssh.2009.18.2.49

Muscle Free Flap Transplantation in Chronic Osteomyelitis of the Lower Extremities

Jun-Mo Lee, M.D., Kwang-Hun Song, M.D. and Jong-Hyuk Park, M.D.

Department of Orthopedic Surgery, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Chonbuk National University, Jeonju, Korea. junmolee@chonbuk.ac.kr

하지의 만성 골수염에 시행된 근 유리 판 이식술

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Abstract

Purpose: To evaluate the result of muscle free flap transplantation in chronic osteomyelitis of the tibia and calcaneus occurred from open fractures and exposed bones and internal fixatives.
Materials and Methods: The free muscle flap were transferred in the tibia and calcaneus and followed up average 7.3 years at the department of orthopedic surgery from March 1997 to September 2009. Six patients were male and 1 case female averaged 50.3 years of age. Two latissimus dorsi myocutaneous free flaps were transplanted to the exposed 2/3 of the tibia with soft tissue defect, one rectus abdominis muscle free flap to the mid 1/3 of the tibia and four gracilis muscle free flaps to the distal 1/3 of the tibia and calcaneus.
Results: At average 7.2 years follow-up, all of the 7 cases obtained solid bone union in the X-ray and kept sound soft tissues without pus discharges. The overall result of bone union, healed soft tissues defect and normal knee and ankle joint range of motion were excellent.
Conclusion: The free muscle flap transferred to the chronic osteomyelitis of the tibia and calcaneus showed excellent results in bone union and eradication of the pus forming bacteria by its abundant blood flow.

Key Words: Free muscle flap, Chronic osteomyelitis

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