Use of the Muscle Flap in Chronic Osteomyelitis

Mathes, Stephen J.; Alpert, Bernard S.; Chang, Ning

doi:10.1097/00006534-198205000-00018

Cited by 373 publications

(119 citation statements)

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“…These findings were confirmed in our further study on LD muscle flaps, in which we showed that the intraoperative transit-time flow increased significantly in the pedicle immediately after the thoracodorsal nerve had been cut (89). Increased blood flow might explain some of the known beneficial effects of free muscle flaps on wound healing and chronic infections (96,97).…”

Section: Intraoperative Blood Flow In Free Flapssupporting

confidence: 78%

“…Muscular tone is also lost due to denervation, which facilitates vasodilation. These postoperative colour Doppler data confirmed the intraoperative haemodynamic changes in free muscle flaps which may explain the beneficial effects of such flaps on wound healing and chronic infections (96,97).…”

Section: Pre-and Postoperative Blood Flow In Free Flaps and The Recipsupporting

confidence: 70%

“…Muscle flaps fill the dead space and prevent fluid collection (25,108). Increased blood flow through the muscle may help to explain the beneficial effects of such flaps on chronic infections (96,97). Perfused free flaps bring blood supply to the infected area, increasing local oxygen pressure, neutrophil activity and antibiotic delivery and thus promoting wound healing (38).…”

Section: Free Muscle Flapsmentioning

confidence: 99%

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Blood flow in free micro-vascular flaps

Lorenzetti¹,

Salmi²,

Tukiainen³

et al. 1998

Pathophysiology

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Section: Intraoperative Blood Flow In Free Flapssupporting

confidence: 78%

Section: Pre-and Postoperative Blood Flow In Free Flaps and The Recipsupporting

confidence: 70%

Section: Free Muscle Flapsmentioning

confidence: 99%

See 1 more Smart Citation

Blood flow in free micro-vascular flaps

Lorenzetti¹,

Salmi²,

Tukiainen³

et al. 1998

Pathophysiology

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“…Muscle flaps are intended to recreate a biological environment, isolating deep structures from the environment, reducing dead spaces, promoting local vascularization, increasing oxygen concentration, nutrients and metabolic exchanges, immunomediators transport and antibiotic concentration in loco. 11,29 In very large injuries, microsurgical flaps can be used as an alternative, such as the abdominal rectus or major dorsal. 11 In the great majority of cases, coverage of the anterior knee surface is achieved with pedicled flaps.…”

Section: Discussionmentioning

confidence: 99%

Emprego do músculo gastrocnêmio no tratamento das lesões infectadas do joelho

et al. 2009

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“…Shoulder reconstruction using a pedicle flap, such as the latissimus dorsa, is a widely accepted reconstructive option due to its reliability and ability to cover large wound defects with ease [24][25][26]. In cases of synovia-cutaneous fistulas, the use of a vascularized muscle flap is advantageous to obliterate dead space, treat osteomyelitis, and provide adequate bulky coverage of orthopaedic hardware [27,28]. The consideration for use of vascularized tissue is even more important for cases where there is suspicion for an underlying infection [29,30].…”

Section: Casementioning

confidence: 99%

The Use of Regional Flaps for the Repair of Synovio-Cutaneous Fistulas of the Shoulder after Attempted Rotator Cuff Repair: A Report of Two Cases

Rl¹,

Kj²,

Nl³

et al. 2016

Bone Rep Recommendations

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Context: The treatment of rotator cuff tears has become one of the most common orthopaedic sports procedures. The development of a synovio-cutaneous fistula is a rare, but serious, complication that has been described after rotator cuff repair. The purpose of this report is to present the local rotational flap as a treatment option for synovio-cutaneous fistulas of the shoulder and to emphasize the importance of recognizing when primary closure may not be sufficient for adequate repair.Case Reports: A 67-year-old male who previously underwent a right rotator cuff and a biceps tendon repair presented with a persistently draining shoulder fistula. The decision was made to proceed with extensive debridement and closure using vascularized tissue. A 63-year-old male presented for a postoperative wound complication following attempted open debridement of a left torn rotator cuff. The wound was initially managed conservatively, but a persistently draining fistula necessitated the use of vascularized tissue for closure of the wound. The recovery of both patients was uneventful with no recurrent fistula formation. Both patients had improved shoulder range of motion following surgery and resolution of their pain. Conclusions:The excessive tension placed on the rotator cuff tendons and deltoid during repair and the resultant inflammation may contribute to tissue necrosis and facial dehiscence over the glen humeral joint, allowing for fistula formation. Surgeons should be aware that when adequate soft tissue coverage cannot be accomplished over the glen humeral joint via primary closure, there are local flaps available to provide complete coverage over the joint.

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Use of the Muscle Flap in Chronic Osteomyelitis

Cited by 373 publications

References 0 publications

Blood flow in free micro-vascular flaps

Blood flow in free micro-vascular flaps

Emprego do músculo gastrocnêmio no tratamento das lesões infectadas do joelho

The Use of Regional Flaps for the Repair of Synovio-Cutaneous Fistulas of the Shoulder after Attempted Rotator Cuff Repair: A Report of Two Cases

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