[Possibilities of using the sartorius muscle in the treatment of chronic osteoarticular infections].
In a group of 17 patients with chronic osteoarticular infection for filling of the chronic cavity the sartorius muscle was used. In eight instances chronic osteomyelitis of the distal femur was involved, in nine instances by means of the sartorius muscle the acetabulum was filled (after removal of an infected total endoprosthesis or after resection of the hip joint on account of purulent coxitis). In the first group the authors recorded 75% satisfactory results and therefore they recommend to use the sartorius muscle for filling chronic osteomyelitic cavities in the distal part of the femur with a fistula on the inner side of the thigh. In the second group of patients, where the sartorius muscle was used to fill the acetabulum, poor results were recorded in 55.5%. This is obviously associated with the blood supply of the muscle used, which does not permit such an extensive mobilization and rotation of the muscle without jeopardizing its nutrition. Therefore the authors do not recommend the use of the sartorius muscle for filling the acetabulum and propose other muscle flaps which gave preliminary, satisfactory results.
Pilnácek
J
J
Ortopedická klinika ILF, FN Na Bulovce, Praha.
Stockarová
D
D
D000077:Acetabulum; D002908:Chronic Disease; D005270:Femur Head; D006621:Hip Joint; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D010019:Osteomyelitis / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods
Moznosti vyuzití musculus sartorius v lécbĕ chronické osteoartikulární infekce.