Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

e-ISSN: 2449-9145

The Use of orthoplastic techniques for the treatment of lower extremity osteomyelitis and its response to inflammatory markers employing transitional muscle flaps

Author(s): Coleman Clougherty, Edgardo R. Rodriguez-Collazo*, Grace C. Craig, Kartick Patel and Ashley M. Mandela

Treating chronic wounds of the lower extremity with underlying osteomyelitis remains challenging. When standard local wound therapy modalities fail, and salvageable treatment options are exhausted, debridement of infected bone and soft tissue with flap coverage augmentation can be a consideration prior to amputation. We propose the first article in the literature on monitoring inflammation labs for resolution of osteomyelitis with reconstructive approach in limb salvage by harvesting muscle flap for coverage of soft tissue deficits overlying resected infected bone. The evaluation of successful outcome is determined by wound closure with resolution of elevated inflammatory labs in a case-control study. Three patients were retrospectively analyzed and successful outcome was achieved in all cases in a short-term follow-up of 16 months. Muscle transpositional flaps should be considered as an alternative salvage procedure prior to amputation.

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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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