Use of the vastus lateralis muscle flap with a grooving procedure in the surgical treatment of chronic osteomyelitis of the femur

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dc.contributor.authorNecmioglu, S
dc.contributor.authorAskar, I
dc.contributor.authorLök, V
dc.contributor.authorSubasi, M
dc.date.accessioned2024-04-24T17:08:13Z
dc.date.available2024-04-24T17:08:13Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractSevere femoral fractures may be associated with devascularization of cortical bone, soft-tissue loss, and significant morbidity. After surgical treatment of these femoral fractures, chronic infection may ensue and requires additional reconstructive procedures. Local muscle flap coverage is used to treat chronic osteomyelitis. A new procedure-the vastus lateralis muscle flap with grooving of the femoral shaft-was used for the treatment of chronic osteomyelitis of the femoral shaft. The authors present 6 patients with chronic osteomyelitis of the femur who were treated with a vastus lateralis muscle flap. Five of the patients were male and the other was female. The average age of the patients was 33.8 years (range, 17-54 years). All patients experienced infection during the early postoperative period. Drainage of abscess, debridement, sequestrectomy repair of fistula, and mini fenestration were performed at least 3 times, and antibiotics were administered several times. During the operations, tissue samples were evaluated for bacterial cultivation. Staphylococcus aureus was seen in 4 patients, S. epidermidis in 1 patient, and Pseudomonas aeruginosa in the remaining patient. A vastus lateralis muscle flap with grooving of the infected femoral shaft is presented. The authors have not encountered a recurrence of infection during a minimum 3.9 years of follow-up. They think this technique is an alternative to the current techniques for the surgical treatment of chronic osteomyelitis of the femur.en_US
dc.identifier.doi10.1097/01.sap.0000134752.01294.d0
dc.identifier.endpage576en_US
dc.identifier.issn0148-7043
dc.identifier.issn1536-3708
dc.identifier.issue6en_US
dc.identifier.pmid15602255
dc.identifier.scopus2-s2.0-9444299037
dc.identifier.scopusqualityQ2
dc.identifier.startpage570en_US
dc.identifier.urihttps://doi.org/10.1097/01.sap.0000134752.01294.d0
dc.identifier.urihttps://hdl.handle.net/11468/17258
dc.identifier.volume53en_US
dc.identifier.wosWOS:000225625500011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals of Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVastus Lateralis Muscle Flapen_US
dc.subjectGrowing Procedureen_US
dc.subjectChronic Osteomyelitisen_US
dc.subjectFemuren_US
dc.titleUse of the vastus lateralis muscle flap with a grooving procedure in the surgical treatment of chronic osteomyelitis of the femuren_US
dc.titleUse of the vastus lateralis muscle flap with a grooving procedure in the surgical treatment of chronic osteomyelitis of the femur
dc.typeArticleen_US

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