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 | ||||
Article 7, Volume 46, Issue 1, January 2022, Page 37-43 PDF (7.43 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2022.220428 | ||||
View on SCiNiTO | ||||
Authors | ||||
Amr M. E. Khatter* 1; Mohamed ElKabbani 2; Mohammed H. El Fahar1 | ||||
1The Department of Plastic Surgery, Faculty of Medicine, Mansoura University | ||||
2The Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University | ||||
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 | ||||
References | ||||
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