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Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults.
- Source :
- International Wound Journal; Oct2022, Vol. 19 Issue 6, p1349-1356, 8p
- Publication Year :
- 2022
-
Abstract
- To investigate the clinical application value of different flap transfer and repair techniques in adult patients with chronic osteomyelitis of limbs complicated with soft tissue defects. According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debridement, negative pressure device, and tissue flap to cover wound. Among 21 cases of chronic osteomyelitis complicated with local soft tissue defect, 15 patients were repaired with sural neurotrophic musculocutaneous flap transfer, 2 patients were repaired with medial plantar skin flap transfer, 2 patients were repaired with ilioinguinal skin flap transfer, 1 patient was repaired with z‐forming wound, and 1 patient was repaired with soleus muscle flap combined with full‐thickness skin graft. All the 21 patients underwent bone cement implantation after dead bone osteotomy. Among them, 19 patients underwent bone cement replacement with 3D prosthesis within 6 months to 1 year after surgery, and 2 patients carried bone cement for a long time. Early intervention, thorough debridement, removal of necrotic or infection, and then selecting the appropriate wound skin flap coverage are important means of guarantee slow osteomyelitis wound healing and for providing a possible way to permanent prosthesis implantation subsequently. [ABSTRACT FROM AUTHOR]
- Subjects :
- EXTREMITIES (Anatomy) -- Surgery
ARTIFICIAL limbs
WOUND healing
SURGICAL flaps
BONE cements
DEBRIDEMENT
OSTEONECROSIS
CHRONIC diseases
ORTHOPEDIC surgery
OSTEOTOMY
POSTOPERATIVE care
SURGICAL complications
RETROSPECTIVE studies
ACQUISITION of data
TREATMENT effectiveness
OSTEOMYELITIS
SURGICAL site
DESCRIPTIVE statistics
MEDICAL records
SURGICAL site infections
THREE-dimensional printing
DATA analysis software
SOFT tissue injuries
TRANSPLANTATION of organs, tissues, etc.
EARLY medical intervention
MICROBIAL sensitivity tests
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 19
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 159271231
- Full Text :
- https://doi.org/10.1111/iwj.13729