Khatter, A., ElKabbani, M., El Fahar, M. (2022). A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of Chronic Osteomyelitis Related Wounds of the Lower Limb in the Adult Population. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), 37-43. doi: 10.21608/ejprs.2022.220428
Amr M. E. Khatter; Mohamed ElKabbani; Mohammed H. El Fahar. "A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of Chronic Osteomyelitis Related Wounds of the Lower Limb in the Adult Population". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 1, 2022, 37-43. doi: 10.21608/ejprs.2022.220428
Khatter, A., ElKabbani, M., El Fahar, M. (2022). 'A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of Chronic Osteomyelitis Related Wounds of the Lower Limb in the Adult Population', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), pp. 37-43. doi: 10.21608/ejprs.2022.220428
Khatter, A., ElKabbani, M., El Fahar, M. A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of Chronic Osteomyelitis Related Wounds of the Lower Limb in the Adult Population. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(1): 37-43. doi: 10.21608/ejprs.2022.220428
A Retrospective Comparative Study between Muscle Flaps and Fasciocutaneous Flaps in Reconstruction of Chronic Osteomyelitis Related Wounds of the Lower Limb in the Adult Population
1The Department of Plastic Surgery, Faculty of Medicine, Mansoura University
2The Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University
Abstract
Introduction: Chronic osteomyelitis cases are challenging, as they require a multidisciplinary approach for reconstructive soft tissue coverage and orthopedic management. Proper debridement, stable coverage and effective antibiotic therapy are mandatory before application of flap coverage. Patients and Methods: We performed a retrospective comparative study between muscle and fasciocutaneous flaps used for coverage of chronic osteomyelitis related wounds of the lower limb. It included thirty patients who finished a 12 months of follow-up to assess the complications rate and the outcome of surgery. Color match, texture match and aesthetic satisfaction were compared between the 2 groups. Results: Thirty-one flaps including six free flaps and twenty-five local flaps were used to treat these cases. Complications included fluid collections in one case, sinus formation in two 2 cases, partial flap loss in one case. These complications were managed by prolonged antibiotic therapy and dressing changes. Cases in group B had higher scores (mean: 9.5±1.34) in comparison with cases in group A (mean: 7.25±1.29). Yet, there were no statistically significant differences between the 2 groups (p-value: 0.27). Conclusion: A multidisciplinary team is needed for management of cases with chronic osteomyelitis related wounds. Flap coverage can be achieved with either muscular or fasciocutaneous flaps with comparable successful rates.
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