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Treatment of chronic osteomyelitis of the lower extremity using free flap transfer
M Tvrdek1, A Nejedlý, J Kletenský
1Department of Plastic Surgery, Third Medical Faculty, Charles University, Prague, Czech Republic.
Acta Chirurgiae Plasticae
|August 10, 1999
Abstract:
Between 1987 and 1995, 25 patients with chronic osteomyelitis of the lower extremity were treated by transfer of muscle or musculocutaneous flap. The subsequent follow-up extended over more than three years. Five patients developed a recurrence. Two were reoperated on and healed completely; in two an amputation had to be performed; and in one the infection persists. Recurrence occurred mainly in patients in whom the bone cavity could not be filled completely with muscle.