Vascularized bone segment transfers for management of chronic osteomyelitis

Vascularized bone segment transfer procedures appear to be of value for select cases of chronic osteomyelitis. They are particularly indicated for reconstruction in those patients who require an extensive bone resection for an adequate debridement. In the authors' series, apparent control of sepsis was achieved in approximately 85 per cent of patients with this procedure. Secondary surgical procedures were necessary in about half of the group to achieve bony union and complete healing.