J Korean Surgery Hand Soc Search


Journal of the Korean Society for Surgery of the Hand 2004;13(2):136-143.
Published online October 31, 2004.
Free Flap and Osteocutaneous Flap Transfer in the Treatment of Infected Wound
Kwang Suk Lee, M.D., Jong Ryoon Baek, M.D., Sang Bum Kim, M.D., Dae Hee Lee, M.D., Woo Joo Jeon, M.D.
감염 창상 치료에 있어 유리 피부 및 생골 피부편 이식
Purpose: We analyse retrospectively the clinical result of consecutive free flap and osteocutaneous flap transfer in the chronic osteomyelitis, nonunion combined with infection and soft tissue defect with infection.
Materials and Methods: From December 1989 to Jun 2003, free flap and osteocutaneous flap transfer was performed in 225 patients with osteomyelitis or infected non-union. 44 cases of these patients had revealed antibitotics resistant organism in wound culture, and these 44 cases were investigated in the mechanism of the injury, recurrence of infection, radiographic union, follow-up clincal results, and postoperative complications.
Results: Among the 44 cases, consecutive procedures of osteocutaneous flap transfers(26 cases) and free flaps(18 cases) were performed. Causative organisms were MRSA(20 cases), Pseudomonas aeruginosa(18 cases), acinetobacter(2 cases), and so forth. Initial bony union was obtained in the average 6.3 months. Recurrence of infection in free flap and osteocutaneous free flap were occurred in 3 and 4 cases respectively. Eventually, all the cases attained successful subsidence of the inflammation.
Conclusion: Free flap and osteocutaneousflap transfer have provided the greatest improvement of surgical results in infected non-union, chronic osteomyelitis and soft tissue defect with infection. Further clincal studies maybe required to minimize failure rate.
Key Words: Infected wound, Free flap transfer, Osteocutaneous flap transfer

Article and topics
Article category

Browse all articles >


Browse all articles >

Browse articles
Editorial policy
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2020 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

Developed in M2community

Close layer
prev next