Reconstruction of the wound with osteomyelitis by free medical sural artery perforator myocutaneous flap
10.3760/cma.j.issn.1009-4598.2019.12.015
- VernacularTitle: 游离腓肠内侧动脉穿支肌皮瓣修复骨髓炎创面
- Author:
Guanghao LIN
1
;
Zhiwu CHEN
;
Junshui ZHENG
;
Zhuan YANG
;
Tiantian REN
;
Yu YU
;
Yangjian WANG
;
Peng WEI
Author Information
1. Department of Reconstructive Surgery, Ningbo First Hospital, Ningbo 315000, China
- Publication Type:Journal Article
- Keywords:
Osteomyelitis;
Medial suralartery perforator;
Myocutaneous flap;
Reconstruction
- From:
Chinese Journal of Plastic Surgery
2019;35(12):1234-1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of free medical sural artery perforator myocutaneous flap for repairingof the woundwith osteomyelitis.
Methods:17 patients suffered from the wound with osteomyelitis were treated in the Ningbo First People′s Hospital, There were 11 males and 6 females with an mean age of 53.2 years (range, 21-76 years). The sizes of the defect ranged 5 cm×4 cm to 13 cm×6 cm. All patients underwent debridement and used antibiotic-loaded bonecement to cover the wound. Meanwhile, patients were treated with sensitive antibiotics, operation and free medical sural artery perforator myocutaneous flap were used to treat the wound. Preoperative use ultrasound and CT angiography to positioning perforator, The flap area ranged from 6 cm×4 cm to 13 cm×7 cm and the donor sites were closed directly. The author provided the patients with the treatment of anti-inflammatory, anti-spasmodic and anti-coagulantin the postoperative. Used infrared thermograms to assess the flap blood supply.
Results:One flap skin margin was non union due to poor blood supply.All of the other 16 flaps success survived and the donor sites were closed directly. Postoperative follow-up period was 4 to 23 months and the flaps had satisfied texture and appearance.All the donor sites had a good healing with no pain and complications, also the osteomyelitis was controlled.
Conclusions:The free medical sural artery perforator myocutaneous flap is reliable for reconstruction of the wound with osteomyelitis.
