Use of the Keystone Perforator Island Flap in the treatment of chronic lower extremity wounds complicated by osteomyelitis

被引：7

作者：

Al-Mousawi, Ahmed ^{[1
]}

Sanese, Giuseppe ^{[2
,3
,4
]}

Baljer, Bence ^{[1
,5
]}

Lo Torto, Federico ^{[4
]}

Hausien, Omar ^{[1
]}

Perra, Agostino ^{[2
,4
]}

Cervelli, Valerio ^{[2
]}

Nicoli, Fabio ^{[1
,2
,5
,6
]}

机构：

[1] Newcastle Upon Tyne Hosp NHS Fdn Trust, Royal Victoria Infirm, Dept Plast & Reconstruct Surg, Newcastle Upon Tyne, Tyne & Wear, England

[2] Univ Roma Tor Vergata, Dept Plast & Reconstruct Surg, Rome, Italy

[3] Univ Roma Tor Vergata, PhD Sch Med Surg Appl Sci, Sch Med & Surg, Plast Regenerat Res Area, Rome, Italy

[4] Sapienza Univ Rome, Dept Surg Pietro Valdoni, Plast Surg Unit, Rome, Italy

[5] Newcastle Univ, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England

[6] Northumbria Healthcare NHS Fdn Trust, Dept Plast & Reconstruct Surg, Alnwick, Northd, England

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2020年 / 51卷 / 03期

关键词：

Keystone flap; Soft tissue; Reconstruction; Chronic wounds; Lower extremity; Osteomyelitis; Bone infection; Local flap; Perforator flap; Orthoplastic; Lower limb reconstruction; FASCIOCUTANEOUS PERFORATOR; LOWER-LIMB; MANAGEMENT; DEFECTS; RECONSTRUCTION; OUTCOMES; THERAPY;

D O I：

10.1016/j.injury.2019.12.010

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Introduction: Reconstruction of chronic lower extremity wounds can be especially challenging when these wounds are complicated by osteomyelitis. They require the joint expertise of plastic and orthopaedic surgeons. Methods: We report our experience using the Keystone Perforator Island Flap following wound and bone debridement as a valuable surgical tool for coverage of complex wounds with bone infection. Results: Twelve patients underwent similar procedures with overall good outcomes, although two patients experienced a complication, specifically partial flap necrosis and wound dehiscence subsequent to recurrent osteomyelitis. We also reviewed the underlying physiological mechanisms of employing the Keystone flap in order to demonstrate its advantages and efficacy. Conclusion: Our results confirm that the Keystone flap can be a safe, reliable and effective method for coverage of soft tissue defects and the preservation of bone integrity in the management of patients with chronic osteomyelitis. (C) 2019 Elsevier Ltd. All rights reserved.

引用

页码：744 / 749

页数：6

共 43 条

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