Eur J Plast Surg (2012) 35:775–778 DOI 10.1007/s00238-011-0656-0 CASE REPORT Using extended pedicle lateral gastrocnemius muscle flap with antibiotic-impregnated calcium sulfate to salvage distal femur chronic osteomyelitis: a case report Chih-Hsun Lin & Wen-Hao Tzou & Hsu Ma Received: 18 June 2011 /Accepted: 18 October 2011 /Published online: 3 January 2012 Springer-Verlag 2011 Introduction elevate regional concentration of antibiotic and speed up bone regeneration in chronic osteomyelitis, there have been Chronic osteomyelitis remains a challenge and requires many bone substitutes incorporated with antibiotics, such as aggressive surgical treatment to be cured. The general vancomycin-impregnated calcium sulfate (Osteoset®, Wright management principle includes radical debridement, seques- Medical, Arlington, TN) . Thecaseto bereportedhere trectomy or saucerization, muscle flap coverage, and specific illustrates the successful salvage of a distal femur chronic antibiotic therapy. In refractory condition, the patient has to osteomyelitis with bone cavity by extended pedicle lateral face the problems from long hospital stay, repeat operations, gastrocnemius muscle flap and antibiotic-impregnated calci- recurrent purulent discharge, poor quality of life, and even um sulfate in condition where microsurgery was not possible. amputation, finally. Besides inadequate debridement or The patient was informed that their information has been sequestrectomy, poor vascular supply and low regional
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2012
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