Free anterolateral thigh flap treatment of small soft tissue defects osteomyelitis.docVIP

 PAGE \* MERGEFORMAT 6 Free anterolateral thigh flap treatment of small soft tissue defects osteomyelitis Of: Liuzhi Wang, Liu Huiren, Li Ruiguo, Wang Guoqiang [Abstract] free anterolateral thigh flap treatment of small soft tissue defect with osteomyelitis of the efficacy of the descending branch of lateral circumflex femoral artery as a pedicled flap, or with its trunk and muscular branches or cutaneous pedicled muscle muscle flap to cover the .26 flaps all survived, healed well. The free flap surgery is an ideal method of treatment. [Keywords:] flaps, soft tissue defect, osteomyelitis 1998 to December 2007, our department applied the free anterolateral thigh flap treatment of small soft tissue defects, 26 cases of osteomyelitis, surgical result is good, reported as follows. Clinical data 1 General Information The group M 17, 9 females, aged 20 to 53 years, mean 37.5 years old. The causes of injury: road traffic injuries in 12 cases, heavy smash, belt cutter injury in 7 cases, 6 cases of traumatic surgery, the other 1 case. lower leg in 21 cases, 5 cases of the previous paragraph. preoperative secretion bacterial culture results: 20 cases of Staphylococcus aureus, Staphylococcus epidermidis in 6 cases. free flap: anterolateral thigh flap in 13 cases, femoral lateral flap plus 3 cases of latissimus dorsi flap, anterolateral thigh flap in 10 cases. 2 surgical methods 2.1 Preoperative preparation by the District to do the window treatment of osteomyelitis, inflammation under control until after the transplant may consider the line. The scope of the final defect after debridement measure shall prevail. After the decision to probe the anterior tibial or posterior tibial artery to be consistent as a recipient artery, vein and its accompanying large and small saphenous vein as a venous anastomosis to be, and the separation to the sexual assault without injury and without inflammation, and the Department set aside. 2.2 flap design, cut the