Pilnácek J, Stockarová D
Ortopedická klinika ILF, FN Na Bulovce, Praha.
Acta Chir Orthop Traumatol Cech. 1993;60(2):111-3.
In a group of 17 patients with chronic osteoarticular infection for filling of the chronic cavity the sartorius muscle was used. In eight instances chronic osteomyelitis of the distal femur was involved, in nine instances by means of the sartorius muscle the acetabulum was filled (after removal of an infected total endoprosthesis or after resection of the hip joint on account of purulent coxitis). In the first group the authors recorded 75% satisfactory results and therefore they recommend to use the sartorius muscle for filling chronic osteomyelitic cavities in the distal part of the femur with a fistula on the inner side of the thigh. In the second group of patients, where the sartorius muscle was used to fill the acetabulum, poor results were recorded in 55.5%. This is obviously associated with the blood supply of the muscle used, which does not permit such an extensive mobilization and rotation of the muscle without jeopardizing its nutrition. Therefore the authors do not recommend the use of the sartorius muscle for filling the acetabulum and propose other muscle flaps which gave preliminary, satisfactory results.
在一组17例慢性骨关节感染患者中，采用缝匠肌填充慢性脓腔。其中8例为股骨远端慢性骨髓炎，9例通过缝匠肌填充髋臼（在去除感染的全髋关节假体后或因化脓性髋关节炎切除髋关节后）。在第一组中，作者记录到75%的结果令人满意，因此他们建议使用缝匠肌填充大腿内侧有瘘管的股骨远端慢性骨髓炎脓腔。在第二组使用缝匠肌填充髋臼的患者中，55.5%的结果不佳。这显然与所用肌肉的血液供应有关，不危及肌肉营养就无法对其进行如此广泛的游离和旋转。因此，作者不建议使用缝匠肌填充髋臼，并提出了其他初步结果令人满意的肌瓣。
