Vascularized tissue transfer. An adjunct to the treatment of osteomyelitis

Debridement is paramount in the treatment of chronic or acute posttraumatic osteomyelitis. Aggressive removal of all infected soft tissue and bone results in a wound characterized by large dead space and exposed or missing bone. Vascularized tissue transfer eliminates dead space and provides easily mobilized tissue, a necessity for later bony reconstruction. With its independent blood supply, the transferred tissue provides a well oxygenated environment and a potential transport mechanism for antibiotics. Local muscle or fasciocutaneous flaps are used when available. However, in the majority of cases free tissue transfer is necessary.