J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(2):168-172.
Published online March 1, 2004.
Treatment of Chronic Osteomyelitis in Lower limb using Anterolateral Thigh perforator Flaps.
Hyun Woo Shin, Joon Pio Hong
Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
Abstract
Management of chronic osteomyelitis in lower extremity caused by trauma or diabetes has always been difficult. The aim of treatment for these patients are eradication of infection with preservation of the gait function of the leg. Coverage with local and free muscle flaps after complete surgical excision of infected soft tissue and osseous structures is major strategy for treatment of chronic osteomyelitis. There is no doubt that muscle provides good blood flow, thus improves bone healing and increases resistance to bacterial inoculation. But accompanying problems are seen in cases with shallow dead space. In this paper the experience with the use of anterolateral thigh perforator flaps for treatment of osteomyelits is presented. Complete debridement of all non viable, infected and scar tissue and coverage with anterolateral thigh flaps were coupled with through effective antibiotic course in all cases. Follow up periods ranged from 6 to 12 months. All flaps survived completely and osteomyelitis of all cases were subsided. Acceptable gait function was recovered. The Anterolateral thigh perforator flaps can adequate coverage for the treatment of bone infections. It can also be used with combined muscle flaps for reconstruction of large dead space. A dvantages such as acceptable donor site morbidity, short operation time, good sensated reconstruction, and acceptable contours are seen. Reconstruction with anterolateral perforator flaps after complete debridement in the lower limb achieves satisfactory aesthetic and functional results.
Keywords: Osteomyelitis; Anterolateral thigh perforator flap
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,265 View
  • 0 Download

Scrotal Reconstruction with Pedicled Anterolateral Thigh Perforator Flap.2009 May;36(3)

Reconstruction of the Defect in Perineum using Local Perforator Based Flap.2009 September;36(5)

Reconstruction of Hand using Anterolateral Thigh Fascial Free Flap.2009 September;36(5)

Post-Traumatic Big Toe Reconstruction using Anterolateral Thigh Free Flap: A Case Report.2010 July;37(4)

The Result and Attentiveness of Reconstructive Surgery by Anterolateral Thigh Perforator Free Flap.2011 January;38(1)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next