하지의 골수염에 대한 치료로서의 비복 동맥 피판술

Abstract

Purpose: We report our experiences with a sural artery flap for the treatment of soft tissue defects in the lower leg with osteomyelitis. Materials and Methods: From 1998 to December 2004, 35 patients underwent sural artery flap surgery for soft tissue coverage in the lower leg. Among them, 13 cases also had osteomyelitis. the defects were located at the proximal 1/3 of the lower leg in 2 cases, middle 1/3 in 2 cases, and around the ankle in 9 cases. A distally based sural artery flap was performed in 11 cases, and 2 cases were treated with a proximally based sural artery flap. Results: the size of the defects ranged from 3×3 cm to 15×10 ㎝. Two cases showed marginal superficial necrosis that required debridement and secondary closure. After an average follow-up period of 33 months, the osteomyelitis was cured in all cases without recurrence. Conclusion: A sural arteriolized flap is useful for the treatment of osteomyelitis in the lower leg accompanied by a soft tissue defect.