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Subject

The Free Musculocutaneous Flap in the Treatment of Chronic Osteomyelitis
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유리 근피부판을 이용한 만성 골수염의 치료

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Type
Academic journal
Author
Chung, Duke-Whan (경희대학교 의과대학 정형외과학교실) Cho, Chang-Hyun (경희대학교 의과대학 정형외과학교실) Jung, Ki-Woong (경희대학교 의과대학 정형외과학교실)
Journal
대한미세수술학회 대한미세수술학회지 대한미세수술학회지 제8권 제2호
Published
1999.1
Pages
163 - 169 (7page)

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The Free Musculocutaneous Flap in the Treatment of Chronic Osteomyelitis
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Abstract· Keywords

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Purpose : To evaluate the efficacy of free musculocutaneous flap in the treatment of chronic osteomyelitis with drain sinus. Materials and Methods : Eighteen patients (sixteen male and two female) whose average age was 42.6 years were followed for an average of 3.5 years after free musculocutaneous flap for chronic osteomyelitis with drain sinus tract. The period of time between the initial injury and this procedure was average 10.6 years. The patients had an average of 4.1 prior surgical procedure before it. Results : Sixteen(88.9%) of the eighteen free musculocutaneous flap survived, including thirteen of latisimus dorsi flap, three of scapular free flap with muscle, two of medial plantar flap with abductor muscle. Sixteen cases had no evidence of recurrence at follow up. Conclusion : Free musculocutaneous flap is an extremely successful and reliable procedure for the treatment of chronic osteomyelitis with drain sinus. This flap with microvascular anastomses is highly vascularized through its own intrinsic blood vessels, which has the advantage of obliterating dead space and providing improved vascularity to the relatively ischemic recipient site and covering the skin defect.

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