Arnold P G, Yugueros P, Hanssen A D
Department of Orthopedics, Mayo Clinic and Mayo Foundation, Rochester, Minn 55905, USA.
Plast Reconstr Surg. 1999 Jul;104(1):107-10.
Between 1977 and 1993, 64 patients had local muscle flap transposition as an integral portion of treatment for lower-extremity osteomyelitis. All muscle flaps were performed by a single surgeon. There were 54 men and 10 women with an average age of 45 years (range, 16 to 87 years). Median follow-up period was 9.3 years (range, 5 to 21 years). The muscles used included medial gastrocnemius (n = 28), soleus (n = 19), lateral gastrocnemius (n = 13), and peroneus tertius (n = 1). At final follow-up, the recurrence free rates at 5, 10, and 15 years were 94, 92.5, and 86 percent, respectively. These long-term results support the use of local muscle flap transposition as an important management method in the treatment of lower extremity osteomyelitis; however, the risk of treatment failure may arise after extended periods of time.
1977年至1993年间，64例患者接受了局部肌瓣转移术，作为下肢骨髓炎治疗的一个组成部分。所有肌瓣转移术均由同一外科医生完成。患者中有54名男性和10名女性，平均年龄45岁（范围为16至87岁）。中位随访期为9.3年（范围为5至21年）。使用的肌肉包括腓肠肌内侧头（n = 28）、比目鱼肌（n = 19）、腓肠肌外侧头（n = 13）和第三腓骨肌（n = 1）。在最后一次随访时，5年、10年和15年的无复发率分别为94%、92.5%和86%。这些长期结果支持将局部肌瓣转移术作为治疗下肢骨髓炎的一种重要治疗方法；然而，长时间后可能会出现治疗失败的风险。
