皮膚缺損을 동반한 脛慢性髓炎에 對한 Soleus 筋 移動術
Soleus Treanference for Treatment of Chronic Ostemomyelitis with Pretibial Skin Loss
金葉, 金炯洵, 盧成萬,
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金葉 ( )
全南醫大 整形外科學校室
金炯洵 ( )
全南醫大 整形外科學校室
盧成萬 ( )
全南醫大 整形外科學校室
KMID : 0361619730080040436
Abstract
Chronic osteomyelitis with protracted clinical course and pretibial skin loss imposes on every orthopaedic surgeon as one of the most difficult problems to deal with.
All the conservative treatment hitherto reported have left much to be revised and they often accompany, to the despair of both surgeon and patient, recurrence of the lesion.
The authors have had the opportunity of treating such four cases, in which the extensive removal of sclerotic bone as well as~soft tissue adjacent to the focus was done, and to cover the defect thus produced, the soleus muscle transferred anteriorly, followed by skin graft. It proves to have been successful and the rationale to meet the wider clinical applicability of this procedure is described.
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