gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Microsurgical Approach to the Management of Chronic Osteomyelitis

Meeting Abstract

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  • presenting/speaker Linjun Tang - Sichuan Modern Hospital, Chengdu, China
  • Taian Cui - Sichuan Modern Hospital, Chengdu, China
  • Hua Zheng - Sichuan Modern Hospital, Chengdu, China
  • Shaoyong Zhou - Sichuan Modern Hospital, Chengdu, China
  • Hang Zhang - Sichuan Modern Hospital, Chengdu, China
  • Xianhe Li - Sichuan Modern Hospital, Chengdu, China
  • Lin He - Sichuan Modern Hospital, Chengdu, China
  • Yaping Liu - Sichuan Modern Hospital, Chengdu, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1559

doi: 10.3205/19ifssh0816, urn:nbn:de:0183-19ifssh08163

Veröffentlicht: 6. Februar 2020

© 2020 Tang et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: In this study, Microsurgical approach was utilized to manage chronic osteomyelitis in different parts of limbs, and optimal procedure and therapeudic effects were described and discussed.

Methods: During this treatment strategy, local blood supply of the infected skeletal tissues was taken into serious consideration before operation. Necrotic and infected skeletal tissues were debrided. Muscle flap or musculocutaneous flap were transferred to dead space to improve local blood supply. When no suitable muscle flap could be transferred from adjacent area, antibiotic bone cement blocks were filled in the dead space with following skin flap covering. They could provide a highly vascularized soft tissue bed, which can then be utilized as a future graft repository. Finally multiple modalities were successfully utilized to graft into the soft tissue bed. These measures included the use of autogenous cancellous bone graft, bone graft with vascular pedicle, bone graft with vascular anastomosis, and distraction osteogenesis bone transport techniques. In this study, 89 cases were treated with this approach.

Results and Conclusions: Chronic osteomyelitis of all cases have been successfully treated with this microsurgical approach in this study. With an advantage of improving local blood supply, microsurgical approach has unique superiority to treat chronic osteomyelitis.