Antonini Andrea, Rossello Carlo, Salomone Carlo, Riccio Giovanni, Felli Lamberto, Burastero Giorgio
Clinica di Ortopedia e Traumatologia, Università degli Studi di Genova, Genova, Italy.
Clinica di Ortopedia e Traumatologia, Università degli Studi di Genova, Genova, Italy.
Injury. 2017 Oct;48 Suppl 3:S76-S79. doi: 10.1016/S0020-1383(17)30663-0.
The Peroneus Brevis Flap is a described option for the soft tissue coverage and for small bone gap reconstruction in the lower third of the lower leg, where few other local flaps are available and reliable. We analysed retrospectively a case series of 11 consecutive patients whose age ranged from 31 to 87 years (mean 56), who underwent a reconstruction with a PB flap in the treatment of post-traumatic bone infections from October 2010 to February 2012. In our series, only one patient at a 3 year minimum follow-up showed recurrence of the bone infection and required further surgical treatment. Main complications were partial flap necrosis or overlying skin graft necrosis, but without the need of secondary surgery. In our experience, the PB flap is a reliable option for soft tissue coverage in the treatment of distal leg and ankle osteomyelitis.
腓骨短肌肌瓣是一种用于小腿下1/3软组织覆盖和小骨缺损重建的方法，在该部位几乎没有其他可靠的局部肌瓣可供选择。我们回顾性分析了2010年10月至2012年2月间连续11例年龄在31至87岁（平均56岁）的患者，这些患者接受了腓骨短肌肌瓣重建术以治疗创伤后骨感染。在我们的病例系列中，只有1例患者在至少3年的随访中出现骨感染复发，需要进一步手术治疗。主要并发症为部分肌瓣坏死或覆盖的皮肤移植坏死，但无需二次手术。根据我们的经验，腓骨短肌肌瓣是治疗小腿远端和踝关节骨髓炎软组织覆盖的可靠选择。
