Sural neuro musculocutaneous flap transplantation plus catheter irrigation for chronic lateral-malleolus Ostoemyelitis
10.3760/cma.j.issn.1001-2036.2010.04.008
- VernacularTitle:腓肠神经营养血管肌皮瓣加置管冲洗治疗外踝创伤性骨髓炎
- Author:
Jie LIU
;
Shuanke WANG
;
Shifang GUO
;
Huiping TAI
- Publication Type:Journal Article
- Keywords:
Chronic osteomyelitis;
Lateral malleolus;
Sural neuromusculocutaneous flap
- From:
Chinese Journal of Microsurgery
2010;33(4):281-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the method and clinical result of super sural neuromusculocutaneous flap grafting plus catheter irrigation in the treatment for chronic lateral malleolus osteomyelitis. Methods From March 2000 to March 2008, 17 cases, male 14, femal 3, 21 to 75 years old (average 43-year-old),were underwent reversed saphenous musculocutaneous island flap after wide excision of lateralmalleolus lesion. The cause of lateral-malleolus lesions was trauma. The smallest flap was 5 cm× 6 cm and the largest was 7 cm × 11 cm. Catheter irrigation was used in all cases. Results Follow-up ranged from 12 to 96 months, average 49 months. After operation, the wounds were irrigated with sensitive antibiotics 1 to 2.5 months(average 49 days), and all flaps were survived. Except 2 cases, the other 15 were healed in 1 month.The 2 cases were not healed at first stage. According to the lab result,we changed the antibiotic, and in 2.5 months, we took off the catheter. Conclusion To deal with the chronic traumatic lateral-malleolus osteomyelitis, super sural neuromusculocutaneous flap grafting plus catheter irrigation is approprite and effective.
