Τίτλος:
Composite rib and serratus anterior pedicle transfer for reconstruction of an osteomyelitis of the humerus
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We report the case of a 40 year-old male with Staphylococcus aureus osteomyelitis of the proximal humerus after open reduction and internal fixation of a fracture from motor vehicle accident. Removal of the osteosynthesis, extensive debridement and intravenous antibiotics administration was done followed by external fixation stabilization and reconstruction with a combined pedicled flap using the serratus anterior reversed flap and the 6th rib. At the last follow-up, healing of the bone flap was observed; the patient experienced useful motion of his upper extremity without any evidence of recurrent infection. © 2020 Elsevier Ltd
Συγγραφείς:
Ignatiadis, I.A.
Mavrogenis, A.F.
Gkiatas, I.
Tsiampa, V.A.
Spyridonos, S.G.
Georgescu, A.V.
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
antibiotic agent, adult; antibiotic therapy; Article; bone infection; bone length; case report; clinical article; device removal; follow up; fracture external fixation; fracture healing; human; male; methicillin resistant Staphylococcus aureus infection; muscle flap; open fracture; open fracture reduction; osteomyelitis; osteosynthesis; pedicled skin flap; postoperative infection; priority journal; proximal humerus; proximal humerus fracture; range of motion; rib graft; serratus anterior muscle; serratus anterior muscle flap; shoulder radiography; suppuration; surgical debridement; thoracodorsal artery; thorax muscle; traffic accident; upper limb; wound closure; wound healing; diagnostic imaging; humerus; osteomyelitis; rib; skeletal muscle; surgical flaps; transplantation, Adult; Humans; Humerus; Male; Muscle, Skeletal; Osteomyelitis; Ribs; Surgical Flaps
DOI:
10.1016/j.injury.2020.02.122
