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Arch Hand Microsurg > Volume 18(1); 2009 > Article
Journal of the Korean Society for Surgery of the Hand 2009;18(1):16-22.
Published online May 31, 2009.
DOI: https://doi.org/10.12790/jkssh.2009.18.1.16   
Reconstruction of the Pretibial Soft Tissue Lesion after Chronic Tibia Osteomyelitis using Anterolateral Thigh Perforator Flap
Heun-Guyn Jung, M.D., Dong-hyuk Choi, M.D., Sung-Hoon Jeon, M.D., Hee-Dong Kim, M.D.
Department of Orthopedic Surgery, Kwangju Christian Hospital, Korea. dllbaram@dreamwiz.com
전외측 대퇴부 천공지 피판을 이용한 만성 경골 골수염에 동반된 하지 전방 연부조직 병변의 재건
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  The purpose of this study was to present the clinical result of anterolateral thigh free flap for pretibial soft tissue lesion after chronic tibia osteomyelitis. From December 2006 to September 2008, Five patients were included in our study. 4 of 5 were superficial or localized types of chronic tibia osteomyelitis, based on the classification of Cierny and Mader. Average age at the surgery was 45 years, three were males and two were females. All had a history of chronic tibia osteomyelitis and subsequent pretbial soft tissue lesions coming from previous operations or pus drainage. Pretibial soft tissue defects included small ulcers, fibrotic, bruisable soft tissue and small bony exposures, but not large-sized bony exposures nor active pus discharge. After complete debridement of large sized pretibial soft tissue lesions and decortication of anterior tibial cortical dead bone, anterolateral thigh free flap was applied to cover remained large pretibial soft tissue defect and to prevent the recurrence of infection. All flaps survived and provided satisfactory coverage of soft tissue defect on pretibial region for 16 months' mean follow up period. No patients has had recurrence of osteomyelitis. Anterolateral thigh free flap could be recommend for large sized pretibial soft tissue defect of supreficial or localized types of chronic tibia osteomyelitis after through debridement.
Key Words: Tibia, Chronic osteomyelitis, Soft tissue defect, Anterolateral thigh free flap

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