One-stage treatment of chronic osteomyelitis of the proximal tibia using a pedicled vascularised double-barrel fibular flap together with a muscle flap

Akin S., Durak K.

BRITISH JOURNAL OF PLASTIC SURGERY, cilt.55, sa.6, ss.520-523, 2002 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 55 Sayı: 6
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1054/bjps.2002.3893
  • Dergi Adı: BRITISH JOURNAL OF PLASTIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.520-523
  • Bursa Uludağ Üniversitesi Adresli: Hayır

Özet

Although segmental bone loss together with a soft-tissue defect after debridement of a chronic osteomyelitic lesion of the tibia represents a challenging problem for the reconstructive surgeon, bone management has not usually been carried out at the time of soft-tissue coverage. In a one-stage procedure, we treated a patient who had suffered from chronic osteomyelitis of the tibia for 12 years, using a pedicled vascularised double-barrel fibular flap together with a pedicled medial gastrocnemius muscle flap, immediately after radical debridement of the osteomyelitic lesion. Bony union was obtained at 4 months. Full unprotected weight-bearing for normal walking was achieved 10 months after fibular transfer. Follow-up at 2 years showed no recurrence of the osteomyelitis. (C) 2002 The British Association of Plastic Surgeons.