Snyder B J, Oliva A, Buncke H J
Division of Plastic Surgery, Stanford University School of Medicine, California 94304-2205, USA.
J Trauma. 1995 Oct;39(4):792-5. doi: 10.1097/00005373-199510000-00037.
Calcific myonecrosis of lower extremity muscles has been identified as an uncommon late sequela of posttraumatic compartment syndromes or ischemic myonecrosis. Previous reports have detailed a small number of cases with similar clinical and radiographic features. Two cases of calcific myonecrosis diagnosed more than 30 years following trauma to an extremity are presented. Treatment consisted of serial debridement of all infected and necrotic tissue followed by wound closure using a rectus abdominis muscle microvascular transplant in one patient and delayed primary closure in the other. Both patients have resumed active lifestyles with no recurrence of drainage or infection. Aggressive debridement and definitive soft tissue coverage are the mainstay of effective treatment for this entity.
下肢肌肉钙化性肌坏死已被确认为创伤后骨筋膜室综合征或缺血性肌坏死的一种罕见晚期后遗症。既往报告详细描述了少数具有相似临床和影像学特征的病例。本文介绍了两例肢体创伤30多年后诊断为钙化性肌坏死的病例。治疗方法包括对所有感染和坏死组织进行分期清创，其中一例患者随后采用腹直肌微血管移植进行伤口闭合，另一例患者采用延期一期缝合。两名患者均已恢复积极的生活方式，未出现引流或感染复发。积极清创和确定性软组织覆盖是该病症有效治疗的主要方法。
