TY - JOUR
T1 - Muscle flaps in osteomyelitis of the lower extremity
T2 - A 20-year account
AU - Arnold, Phillip G.
AU - Yugueros, Patricia
AU - Hanssen, Arlen D.
PY - 1999/7
Y1 - 1999/7
N2 - Between 1977 and 1993, 64 patients had local muscle flap transposition as an integral portion of treatment for lower-extremity osteomyelitis. All muscle flaps were performed by a single surgeon. There were 54 men and 10 women with an average age of 45 years (range, 16 to 87 years). Median follow- up period was 9.3 years (range, 5 to 21 years). The muscles used included medial gastrocnemius (n = 28), soleus (n = 19), lateral gastrocnemius (n = 13), and peroneus tertius (n = 1). At final follow-up, the recurrence free rates at 5, 10, and 15 years were 94, 92.5, and 86 percent, respectively. These long-term results support the use of local muscle flap transposition as an important management method in the treatment of lower extremity osteomyelitis; however, the risk of treatment failure may arise after extended periods of time.
AB - Between 1977 and 1993, 64 patients had local muscle flap transposition as an integral portion of treatment for lower-extremity osteomyelitis. All muscle flaps were performed by a single surgeon. There were 54 men and 10 women with an average age of 45 years (range, 16 to 87 years). Median follow- up period was 9.3 years (range, 5 to 21 years). The muscles used included medial gastrocnemius (n = 28), soleus (n = 19), lateral gastrocnemius (n = 13), and peroneus tertius (n = 1). At final follow-up, the recurrence free rates at 5, 10, and 15 years were 94, 92.5, and 86 percent, respectively. These long-term results support the use of local muscle flap transposition as an important management method in the treatment of lower extremity osteomyelitis; however, the risk of treatment failure may arise after extended periods of time.
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U2 - 10.1097/00006534-199907000-00016
DO - 10.1097/00006534-199907000-00016
M3 - Article
C2 - 10597682
AN - SCOPUS:0033055973
SN - 0032-1052
VL - 104
SP - 107
EP - 110
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 1
ER -