Use of the Keystone Perforator Island Flap in the treatment of chronic lower extremity wounds complicated by osteomyelitis
| Autor: | Bence Baljer, Giuseppe Sanese, Federico Lo Torto, Valerio Cervelli, Fabio Nicoli, Agostino Perra, Ahmed Al-Mousawi, Omar Hausien |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Soft Tissue Injuries Bone infection Chronic wounds Keystone flap Local flap Lower extremity Lower limb reconstruction Orthoplastic Osteomyelitis Perforator flap Reconstruction Soft tissue medicine.medical_treatment Bone Infection 03 medical and health sciences 0302 clinical medicine medicine Humans Reconstructive Surgical Procedures Aged General Environmental Science Leg Wound Healing 030222 orthopedics Debridement Wound dehiscence business.industry Settore MED/19 030208 emergency & critical care medicine Plastic Surgery Procedures Middle Aged medicine.disease Surgery Chronic osteomyelitis Chronic Disease General Earth and Planetary Sciences Female Flap necrosis Complication business Leg Injuries |
| Zdroj: | Injury. 51:744-749 |
| ISSN: | 0020-1383 |
| Popis: | Introduction : Reconstruction of chronic lower extremity wounds can be especially challenging when the wounds are complicated by osteomyelitis. They require the joint expertise of plastic and orthopaedic surgeons. Methods : We report our experience in the use of the Keystone Perforator Island Flap following wound and bone debridement as a valuable surgical tool in the coverage of complex wounds with bone infection. Results : Twelve patients underwent similar procedures with overall good outcomes, although two patients experienced a complication specifically partial flap necrosis and wound dehiscence subsequent to recurrent osteomyelitis. We also reviewed the underlying physiological mechanisms of employing the keystone flap in order to demonstrate its advantages and efficacy. Conclusion : Our results confirm that the Keystone flap can be a safe, reliable and effective method for the coverage of soft tissue defects and the preservation of bone integrity in the management of patients with chronic osteomyelitis. |
| Databáze: | OpenAIRE |
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