Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults
To investigate the clinical application value of different flap transfer and repair techniques in adult patients with chronic osteomyelitis of limbs complicated with soft tissue defects. According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debrid...
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| Veröffentlicht in: | International wound journal 2022-10, Vol.19 (6), p.1349-1356 |
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| container_title | International wound journal |
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| creator | Zhang, Xinling Yang, Xin Chen, Yujie Wang, Guanhuier Ding, Pengbing Zhao, Zhenmin Bi, Hongsen |
| description | To investigate the clinical application value of different flap transfer and repair techniques in adult patients with chronic osteomyelitis of limbs complicated with soft tissue defects. According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debridement, negative pressure device, and tissue flap to cover wound. Among 21 cases of chronic osteomyelitis complicated with local soft tissue defect, 15 patients were repaired with sural neurotrophic musculocutaneous flap transfer, 2 patients were repaired with medial plantar skin flap transfer, 2 patients were repaired with ilioinguinal skin flap transfer, 1 patient was repaired with z‐forming wound, and 1 patient was repaired with soleus muscle flap combined with full‐thickness skin graft. All the 21 patients underwent bone cement implantation after dead bone osteotomy. Among them, 19 patients underwent bone cement replacement with 3D prosthesis within 6 months to 1 year after surgery, and 2 patients carried bone cement for a long time. Early intervention, thorough debridement, removal of necrotic or infection, and then selecting the appropriate wound skin flap coverage are important means of guarantee slow osteomyelitis wound healing and for providing a possible way to permanent prosthesis implantation subsequently. |
| doi_str_mv | 10.1111/iwj.13729 |
| format | Article |
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According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debridement, negative pressure device, and tissue flap to cover wound. Among 21 cases of chronic osteomyelitis complicated with local soft tissue defect, 15 patients were repaired with sural neurotrophic musculocutaneous flap transfer, 2 patients were repaired with medial plantar skin flap transfer, 2 patients were repaired with ilioinguinal skin flap transfer, 1 patient was repaired with z‐forming wound, and 1 patient was repaired with soleus muscle flap combined with full‐thickness skin graft. All the 21 patients underwent bone cement implantation after dead bone osteotomy. Among them, 19 patients underwent bone cement replacement with 3D prosthesis within 6 months to 1 year after surgery, and 2 patients carried bone cement for a long time. Early intervention, thorough debridement, removal of necrotic or infection, and then selecting the appropriate wound skin flap coverage are important means of guarantee slow osteomyelitis wound healing and for providing a possible way to permanent prosthesis implantation subsequently.</description><identifier>ISSN: 1742-4801</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.13729</identifier><identifier>PMID: 34935287</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Blood transfusions ; Body mass index ; Bone surgery ; Cardiovascular disease ; Debridement ; Defects ; Diabetes ; Foot diseases ; Hematoma ; Hospitalization ; Hospitals ; Males ; Open fractures ; Orthopedics ; osteomyelitis ; Patients ; Plastic surgery ; Polymethyl methacrylate ; Prostheses ; Skin & tissue grafts ; skin flap transplantation ; soft tissue defect ; Transplants & implants ; Trauma</subject><ispartof>International wound journal, 2022-10, Vol.19 (6), p.1349-1356</ispartof><rights>2021 The Authors. published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2021 The Authors. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-ccaa91951cda258629e67c823d5d5ca921c56ec160f937e9fbba82e5bbf9a2f13</citedby><cites>FETCH-LOGICAL-c3889-ccaa91951cda258629e67c823d5d5ca921c56ec160f937e9fbba82e5bbf9a2f13</cites><orcidid>0000-0002-7810-2395 ; 0000-0001-9483-6308</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiwj.13729$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiwj.13729$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34935287$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Xinling</creatorcontrib><creatorcontrib>Yang, Xin</creatorcontrib><creatorcontrib>Chen, Yujie</creatorcontrib><creatorcontrib>Wang, Guanhuier</creatorcontrib><creatorcontrib>Ding, Pengbing</creatorcontrib><creatorcontrib>Zhao, Zhenmin</creatorcontrib><creatorcontrib>Bi, Hongsen</creatorcontrib><title>Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults</title><title>International wound journal</title><addtitle>Int Wound J</addtitle><description>To investigate the clinical application value of different flap transfer and repair techniques in adult patients with chronic osteomyelitis of limbs complicated with soft tissue defects. According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debridement, negative pressure device, and tissue flap to cover wound. Among 21 cases of chronic osteomyelitis complicated with local soft tissue defect, 15 patients were repaired with sural neurotrophic musculocutaneous flap transfer, 2 patients were repaired with medial plantar skin flap transfer, 2 patients were repaired with ilioinguinal skin flap transfer, 1 patient was repaired with z‐forming wound, and 1 patient was repaired with soleus muscle flap combined with full‐thickness skin graft. All the 21 patients underwent bone cement implantation after dead bone osteotomy. Among them, 19 patients underwent bone cement replacement with 3D prosthesis within 6 months to 1 year after surgery, and 2 patients carried bone cement for a long time. Early intervention, thorough debridement, removal of necrotic or infection, and then selecting the appropriate wound skin flap coverage are important means of guarantee slow osteomyelitis wound healing and for providing a possible way to permanent prosthesis implantation subsequently.</description><subject>Blood transfusions</subject><subject>Body mass index</subject><subject>Bone surgery</subject><subject>Cardiovascular disease</subject><subject>Debridement</subject><subject>Defects</subject><subject>Diabetes</subject><subject>Foot diseases</subject><subject>Hematoma</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Males</subject><subject>Open fractures</subject><subject>Orthopedics</subject><subject>osteomyelitis</subject><subject>Patients</subject><subject>Plastic surgery</subject><subject>Polymethyl methacrylate</subject><subject>Prostheses</subject><subject>Skin & tissue grafts</subject><subject>skin flap transplantation</subject><subject>soft tissue defect</subject><subject>Transplants & implants</subject><subject>Trauma</subject><issn>1742-4801</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp10MtKAzEUBuAgitbLwheQgBtdtM2lmZkspXipCG4U3YVM5oSmzExqkqHM2zva6kIwm5MDHz-HH6FzSiZ0eFO3WU0oz5ncQyOaz9h4VtD3_d8_oUfoOMYVIUwKkR-iIz6TXLAiH6FyXrvWGV3jmLqqx77FPqSlX2uonMEpgE4NtAl7i80y-MFiHxP4pofaJRfxxqUljt4mPGyxA1yBBZOwa7GuujrFU3RgdR3hbDdP0Ovd7cv8Yfz0fL-Y3zyNDS8KOTZGa0mloKbSTBQZk5DlpmC8EpUwWjJqRAaGZsRKnoO0ZakLBqIsrdTMUn6Crra56-A_OohJNS4aqGvdgu-iYhllOedsxgZ6-YeufBfa4TrFiSQZkbL4UtdbZYKPMYBV6-AaHXpFifoqXg3Fq-_iB3uxS-zKBqpf-dP0AKZbsHE19P8nqcXb4zbyE0hzjlc</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Zhang, Xinling</creator><creator>Yang, Xin</creator><creator>Chen, Yujie</creator><creator>Wang, Guanhuier</creator><creator>Ding, Pengbing</creator><creator>Zhao, Zhenmin</creator><creator>Bi, Hongsen</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7810-2395</orcidid><orcidid>https://orcid.org/0000-0001-9483-6308</orcidid></search><sort><creationdate>202210</creationdate><title>Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults</title><author>Zhang, Xinling ; Yang, Xin ; Chen, Yujie ; Wang, Guanhuier ; Ding, Pengbing ; Zhao, Zhenmin ; Bi, Hongsen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-ccaa91951cda258629e67c823d5d5ca921c56ec160f937e9fbba82e5bbf9a2f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Blood transfusions</topic><topic>Body mass index</topic><topic>Bone surgery</topic><topic>Cardiovascular disease</topic><topic>Debridement</topic><topic>Defects</topic><topic>Diabetes</topic><topic>Foot diseases</topic><topic>Hematoma</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Males</topic><topic>Open fractures</topic><topic>Orthopedics</topic><topic>osteomyelitis</topic><topic>Patients</topic><topic>Plastic surgery</topic><topic>Polymethyl methacrylate</topic><topic>Prostheses</topic><topic>Skin & tissue grafts</topic><topic>skin flap transplantation</topic><topic>soft tissue defect</topic><topic>Transplants & implants</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Xinling</creatorcontrib><creatorcontrib>Yang, Xin</creatorcontrib><creatorcontrib>Chen, Yujie</creatorcontrib><creatorcontrib>Wang, Guanhuier</creatorcontrib><creatorcontrib>Ding, Pengbing</creatorcontrib><creatorcontrib>Zhao, Zhenmin</creatorcontrib><creatorcontrib>Bi, Hongsen</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International wound journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Xinling</au><au>Yang, Xin</au><au>Chen, Yujie</au><au>Wang, Guanhuier</au><au>Ding, Pengbing</au><au>Zhao, Zhenmin</au><au>Bi, Hongsen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults</atitle><jtitle>International wound journal</jtitle><addtitle>Int Wound J</addtitle><date>2022-10</date><risdate>2022</risdate><volume>19</volume><issue>6</issue><spage>1349</spage><epage>1356</epage><pages>1349-1356</pages><issn>1742-4801</issn><eissn>1742-481X</eissn><abstract>To investigate the clinical application value of different flap transfer and repair techniques in adult patients with chronic osteomyelitis of limbs complicated with soft tissue defects. According to the characteristics and defects of 21 cases, different plastic surgery was applied, including debridement, negative pressure device, and tissue flap to cover wound. Among 21 cases of chronic osteomyelitis complicated with local soft tissue defect, 15 patients were repaired with sural neurotrophic musculocutaneous flap transfer, 2 patients were repaired with medial plantar skin flap transfer, 2 patients were repaired with ilioinguinal skin flap transfer, 1 patient was repaired with z‐forming wound, and 1 patient was repaired with soleus muscle flap combined with full‐thickness skin graft. All the 21 patients underwent bone cement implantation after dead bone osteotomy. Among them, 19 patients underwent bone cement replacement with 3D prosthesis within 6 months to 1 year after surgery, and 2 patients carried bone cement for a long time. Early intervention, thorough debridement, removal of necrotic or infection, and then selecting the appropriate wound skin flap coverage are important means of guarantee slow osteomyelitis wound healing and for providing a possible way to permanent prosthesis implantation subsequently.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>34935287</pmid><doi>10.1111/iwj.13729</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7810-2395</orcidid><orcidid>https://orcid.org/0000-0001-9483-6308</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Blood transfusions Body mass index Bone surgery Cardiovascular disease Debridement Defects Diabetes Foot diseases Hematoma Hospitalization Hospitals Males Open fractures Orthopedics osteomyelitis Patients Plastic surgery Polymethyl methacrylate Prostheses Skin & tissue grafts skin flap transplantation soft tissue defect Transplants & implants Trauma |
| title | Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults |
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