Fasika O M, Arotiba J T
Department of Surgery, University College Hospital, Ibadan, Nigeria.
East Afr Med J. 1995 Sep;72(9):611-2.
Pessimism has existed concerning the cure of patients with chronic osteomyelitis. This has been based on the lack of complete bone and soft tissue debridement in the face of inability to completely cover the resultant wound with adequately perfused tissue. Regional and distant tissue transfers, allow freedom of debridement based on tissue viability rather than on amount of local tissue available to close the wound. Four cases in which regional and distant flaps were used to close defects created after debridement are presented. An overview of reconstruction of such defects is discussed. It is concluded that early management of compound fractures particularly those that require reconstruction will prevent the development of chronic osteomyelitis and thereby undue morbidity.
对于慢性骨髓炎患者的治愈一直存在悲观情绪。这是基于面对无法用血运良好的组织完全覆盖清创后产生的伤口时，缺乏对骨和软组织的彻底清创。局部和远处组织转移，使得清创可基于组织活力，而非基于可用于闭合伤口的局部组织量。本文介绍了4例使用局部和远处皮瓣闭合清创后产生的缺损的病例。并讨论了此类缺损重建的概况。得出的结论是，对复合骨折尤其是那些需要重建的骨折进行早期处理，将预防慢性骨髓炎的发生，从而避免过度的发病率。
