This paper is only available as a PDF. To read, Please Download here.
Four cases of chronic osteomyelitis successfully managed with local muscle flaps after sequestrectomy are reported. The success of this method in controlling chronic osteomyelitis lies in the introduction of a new vasculature, which provides nutrients, sufficient antibiotics, host defence system and osteoprogenitor cells to the post-sequestrectomy bed. The osteoprogenitor cells are responsible for the incorporation of residual avascular bone into the adjacent living bone by creeping substitution.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Antibiotic irrigation perfusion treatment for chronic osteomyelitis.Arch. Orthop. Trauma Surg. 1979; 95: 31
- The management of traumatic tissue loss in the lower limb especially when complicated by skeletal injury.J. Plast. Surg. 1965; 18: 26
- The origin of cells in heterotopic bone formation.Clin. Orthop. 1975; 110: 293
- New operative approach in the treatment of chronic osteomyelitis of the tibial diaphysis.Clin. Orthop. 1970; 70: 165
- Muscle transposition for treatment and prevention of chronic post-traumatic osteomyelitis of the tibia.J. Bone Joint Surg. 1977; 59: 784
- Clinical application of free omental flap transfer.Clin. Plast. Surg. 1978; 5: 273
- Closure of osteomyelitic and traumatic defects of the leg by muscle and musculocutaneous flap.J. Trauma. 1983; 23: 411
- Use of the muscle flap in chronic osteomyelitis—Experimental and clinical correlation.Plast. Reconstr. Surg. 1982; 9: 815
- Microvascular transfer of free tissue for a closure of bone wounds of the distal lower extremity.New Engl. J. Med. 1982; 306: 253
- Acute haematogenous osteomyelitis in infancy and childhood.J. Bone Joint Surg. 1983; 65B: 109
- The role of soft tissues in healing of a large non-vascularised segment of diaphyseal bone.in: Orthop. Transaction of 19th Canadian Orthop. Research Society Meeting, 2–3 June1985
- Osteomyelite chronique: Excision et greffe de spongieu à lair libre apres mises à plat extensives.Int. Orthop. (SICOT). 1979; 3: 165
- Blood supply of healing long bones.in: Bone in Clinical Orthopaedics. A Study in Comparative Osteology. Summer-Smith Saunders, 1982: 97-101
- Chronic osteomyelitis treated with a muscle flap.Orthop. Clin. North Am. 1984; 15: 451
- A staged Papineau protocol for chronic osteomyelitis.Clin. Orthop. 1984; 184: 256
- The use of pedicled muscle flaps in the surgical treatment of chronic osteomyelitis resulting from compound fractures.J. Bone Joint Surg. 1946; 28: 343
- Practical applications of basic research on bone graft physiology.AAOS: Instructional course lectures. 1976; Vol. XXV (Chapter 1): 1-26
- Treatment of chronic osteomyelitis by necretomy and gentamicin—PMMA beads.Clin. Orthop. 1981; 159: 201
- Osteomyelitis: The Past Decade.New Engl. J. Med. 1980; 303: 360
- The efficacy of free tissue transfer in the treatment of osteomyelitis.J. Bone Joint Surg. 1984; 66A: 181
Accepted: December 1, 1986
© 1987 Published by Elsevier Inc.