Deep Infection after Limb Salvage for Malignant Bone Tumors

Autor:	Ryuichi Murakami, Toru Hirano, Goichi Yoshida, T. Fujii, Katsuro Iwasaki
Rok vydání:	1996
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Limb salvage Soft tissue Prosthesis Limb Salvage Procedure Surgery Proximal tibia Amputation medicine Femur Fibula business
Zdroj:	Orthopedics & Traumatology. 45:929-933
ISSN:	1349-4333 0037-1033
DOI:	10.5035/nishiseisai.45.929
Popis:	We treated 5 patients who suffered from deep infection in preserved limbs after limb salvage procedures for malignant bone tumors. Sites included the femur in 2 patients and the proximal tibia in 3 patients. For reconstruction of the affected limbs, a prosthesis and an allograft had been used in 2 patients. In the remaining 3 patients, the involved bone and joint around the lesions had been preserved by radical control of the tumor utilizing intraoperative or preoperative radiotherapy.Under administration of various antibiotics, the infection was successfully treated in the 3 patients who underwent surgical debridement following a repeated wet gauze packing everyday for 3 to 5 weeks, and wound closure using a muscle flap or a vascularized fibula osteocutaneous flap. However, the remaining 2 patients required amputation because they had wide-spread damage of the surrounding soft tissues.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::79ca366239ad4f4d833bd570f24bb534 https://doi.org/10.5035/nishiseisai.45.929 Zobrazit plný text záznamu