Kim Tae Gon, Sakong Yong, Kim Il Kug
Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Arch Plast Surg. 2021 May;48(3):329-332. doi: 10.5999/aps.2020.01200. Epub 2021 Mar 4.
Calcific myonecrosis is a rare condition in which hypoperfusion due to compartment syndrome causes soft tissue and muscle to become calcified. As calcific myonecrosis gradually deteriorates, secretions steadily accumulate inside the affected area, forming a cavity that is vulnerable to infection. Most such cases progress to chronic wounds that are unlikely to heal spontaneously. After removing the calcified tissue, the wound can be treated by primary closure, flap coverage, or a skin graft. In this case, a 72-year-old man had extensive calcific myonecrosis on his left lower leg, and experienced swelling and increasing tenderness. After removing the muscle calcification, we combined two anterolateral thigh free flaps, which were harvested from the patient's right and left thigh, respectively, to reconstruct the wound with a dead-space filler and skin-defect cover at the same time. The patient recovered without revision surgery or major complications.
钙化性肌坏死是一种罕见病症，其中骨筋膜室综合征导致的灌注不足会使软组织和肌肉发生钙化。随着钙化性肌坏死逐渐恶化，分泌物在患区不断积聚，形成一个易于感染的腔隙。大多数此类病例会发展为慢性伤口，不太可能自行愈合。切除钙化组织后，伤口可通过一期缝合、皮瓣覆盖或植皮进行治疗。在本病例中，一名72岁男性左小腿出现广泛的钙化性肌坏死，并伴有肿胀和压痛加剧。切除肌肉钙化后，我们分别取自患者右大腿和左大腿的两块股前外侧游离皮瓣，同时使用死腔填充材料和皮肤缺损覆盖物来重建伤口。患者康复，无需再次手术，也未出现重大并发症。
