[Transosseous Muscle Transfer of the Medial Head of the Gastrocnemius Muscle for Successful Therapy of Refractory Tibial Head Osteomyelitis: a Case Report].
The primary objective of osteomyelitis treatment is disinfection. Therapies can be protracted and expensive. The basic approach is to use radical debridement with antibiotics. However, radical debridement often results in major osseous defects, so it may be necessary to restore bone structures. Several different therapies have been described. Disinfection may be influenced by tissue perfusion. A muscle flap may effectively make good the loss of osseous tissue. In any case, autologous material is limited and the procedure must be adapted to the individual patient. We now report the successful therapy of refractory tibial head osteomyelitis with large osseous defects with a transosseous muscle flap. The caput mediale of the gastrocnemius muscle was used for dorsal to ventral muscle transfer through the proximal tibia.
Unfallchirurgie/Orthopädie, BG Klinikum Duisburg.
G Zulueta
GZ
La Rosa
Unfallchirurgie/Orthopädie, BG Klinikum Duisburg.
E S
ES
Steinhausen
Unfallchirurgie/Orthopädie, BG Klinikum Duisburg.
P H
PH
Hax
Unfallchirurgie/Orthopädie, BG Klinikum Duisburg.
M
M
Glombitza
D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000637:transplantation*; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery*; D013524:Surgical Flaps; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome