生物骨科材料与临床研究2018，Vol.15Issue(2)：48-50,后插3,4.DOI:10.3969/j.issn.1672-5972.2018.02.012
股外侧肌带蒂肌瓣治疗大粗隆部慢性骨髓炎
Treatment of chronic osteomyelitis in the greater trochanter with pedicled muscle flap of the vastus lateralis muscle
张功林 1陈克明 1裴晓强 2刘强2
作者信息
- 1. 兰州军区总医院全军骨科研究所,甘肃 兰州,730050
- 2. 甘肃省武山县中医院骨科,甘肃 武山,741300
- 折叠
摘要
Abstract
Objective To report clinical application results ofthe treatment of chronic osteomyelitis in the greater trochanter with a pedicled muscle flap of the vastus lateralis muscle.Methods From Jan 2008 to Jan 2015,6 patients (5 men,1 women) with chronic osteomyelitis in the greater trochanter treated with a pedicled muscle flap of the vastus lateralis muscle.They ranged in age from 28 to 56 years (mean,48 year).Sofl-tissue defect size in the greater trochanter were from 5 cm×2 cm ～ 8 cm×4 cm.The pedicled muscle flap of the vastus lateralis muscle was transposed to the greater trochanter area,then immediate coverage of the muscle flaps were performed by a meshed split-thickness free skin graft.The donor site was closed directly.Results One patient developed small free skin graft necrosis,which spontaneous healed at 3 weeks after surgery.The muscle flaps had survived completely.Follow-up period ranged from 2.5-4.0 years (mean,3 years) postoperatively.A good contour was confirmed at the recipient area.There was no recurrence of chronic osteomyelitis,the function of the hip joint were evaluated with HSS evaluation standards.Very good results were obtained in 5 cases,good results in 1 case.Satisfactory clinical results were obtained in this series.Conclusion This technique is safe,reliable,and particularly useful for the treatment of chronic osteomyelitis in the greater trochanter.关键词
骨髓炎/股外侧肌/带蒂肌瓣/大粗隆Key words
Osteomyelitis/Vastus lateralis muscle/Pedicled muscle flap/Greater trochanter分类
医药卫生引用本文复制引用
张功林,陈克明,裴晓强,刘强..股外侧肌带蒂肌瓣治疗大粗隆部慢性骨髓炎[J].生物骨科材料与临床研究,2018,15(2):48-50,后插3,4.
