“A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of chronic Osteomyelitis Related Wounds of the lower limb in the adult population” | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Articles in Press, Accepted Manuscript, Available Online from 31 October 2021 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2021.92070.1106 | ||||
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Authors | ||||
Amr khater 1; Mohamed ElKabbani 2; Mohammed Hassan ELFAHAR 3 | ||||
119 atabeek nor eldin, mokhtalat | ||||
2Department of Orthopaedic Surgery, Faculty of Medicine, Mansoura University | ||||
3Plastic & Reconstructive Surgery Department, Mansoura University, Egypt | ||||
Abstract | ||||
Introduction: Chronic osteomyelitis cases are challenging, as they require a multidisciplinary approach for reconstructive soft tissue coverage and orthopedic management. Proper debridement, stable coverage and effective antibiotic therapy are mandatory before application of flap coverage. Patients and methods: We performed a retrospective comparative study between muscle and fasciocutaneous flaps used for coverage of chronic osteomyelitis related wounds of the lower limb. It included thirty patients who finished a 12 months of follow up to assess the complications rate and the outcome of surgery. Color match, texture match and aesthetic satisfaction were compared between the 2 groups. Results: Thirty-one flaps including six free flaps and twenty-five local flaps were used to treat these cases. Complications included fluid collections in one case, sinus formation in two 2 cases, partial flap loss in one case. These complications were managed by prolonged antibiotic therapy and dressing changes. Cases in group B had higher scores (mean: 9.5 +/- 1.34) in comparison with cases in group A (mean: 7.25+/- 1.29). Yet, there were no statistically significant differences between the 2 groups (P-value: 0.27). Conclusion: A multidisciplinary team is needed for management of cases with chronic osteomyelitis related wounds. Flap coverage can be achieved with either muscular or fasciocutaneous flaps with comparable successful rates. | ||||
Keywords | ||||
osteomyelitis; ALt flap; Gracilis | ||||
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