Free Tissue Transfer and Calcanectomy as Treatment of Chronic Osteomyelitis of the Os Calcis: A Case Report

Foot & Ankle ◽  
1990 ◽  
Vol 11 (3) ◽  
pp. 168-171 ◽  
Author(s):  
Robert B. Anderson ◽  
Mark D. Foster ◽  
John S. Gould ◽  
Douglas P. Hanel
Keyword(s):  
Case Report ◽  
Chronic Osteomyelitis ◽  
Free Tissue Transfer ◽  
Os Calcis ◽  
Tissue Transfer

The possibility of free tissue transfer as a nutrient flap for critical ischemic foot: A case report

Microsurgery ◽  
2017 ◽  
Vol 37 (6) ◽  
pp. 694-698 ◽  
Author(s):  
Kentaro Tanaka ◽  
Kimihiro Igari ◽  
Mitsuhiro Kishino ◽  
Satoshi Usami ◽  
Tsutomu Homma ◽  
...  
Keyword(s):  
Case Report ◽  
Free Tissue Transfer ◽  
Tissue Transfer

scholarly journals Reconstruction of Angle of the Mouth by Microvascular Radial Forearm Free flap- A case report

2014 ◽  
Vol 40 (2) ◽  
pp. 62-64
Author(s):  
MA Litu ◽  
NK Chowdhury ◽  
M Rahman ◽  
S Hassan ◽  
ABM Korshed Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
The Body ◽  
Radial Forearm Free Flap ◽  
Recipient Site ◽  
Present Case Report ◽  
Tissue Transfer ◽  
Radial Forearm

The terms free flap and free tissue transfer are synonymous used to describe the movement of tissue from one site on the body to another. "Free" implies that the tissue, along with its blood supply, is detached from the original location (donor site) and then transferred to another location (recipient site). However, studies are still going on about the different aspects of its success and failure. The present case report is one such step to share our experience. In this case report successful microvascular free tissue transfer was possible With the increase in experience we can expect increased success rate as well. DOI: http://dx.doi.org/10.3329/bmj.v40i2.18515 Bangladesh Medical Journal 2011 Vol.40(2): 62-64

Efficacy of Microsurgical Free‐Tissue Transfer in Chronic Osteomyelitis of the Leg and Foot: Review of 22 Cases

1999 ◽  
Vol 15 (04) ◽  
pp. 239-244 ◽  
Author(s):  
Ramzi Musharafieh ◽  
Omar Osmani ◽  
Umaya Musharafieh ◽  
Said Saghieh ◽  
Bishara Atiyeh
Keyword(s):  
Chronic Osteomyelitis ◽  
Free Tissue Transfer ◽  
Tissue Transfer

scholarly journals The Effect of Age on Outcome in Excision of Chronic Osteomyelitis with Free Muscle Flap Reconstruction

2019 ◽  
Vol 4 (4) ◽  
pp. 181-188 ◽  
Author(s):  
John Victor Kendall ◽  
Martin McNally ◽  
Christopher Taylor ◽  
Jamie Ferguson ◽  
Svetlana Galitzine ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Chronic Osteomyelitis ◽  
Muscle Flap ◽  
Length Of Hospital Stay ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Free Muscle Flap ◽  
Group A

Abstract. Introduction: Curative surgical treatment of chronic osteomyelitis often requires free tissue transfer if there is significant soft tissue compromise. We investigated whether age influenced outcomes of curative osteomyelitis excision in those patients requiring free muscle flap soft tissue reconstruction.Methods: We assessed ninety-five consecutive patients treated with excision of chronic osteomyelitis, skeletal stabilisation/reconstruction and free muscle transfer between 2006 and 2012. We compared outcomes of those aged ≥60 years (n=23) with those <60 years old (n=72).Results: Groups were similar with regard to Cierny and Mader anatomic type and physiological host classification. Length of procedure and length of hospital stay were similar for both groups. There was a greater proportion of ASA grade III patients in the older cohort. Infection recurrence occurred in one of the older cohort (4.3%) and in seven patients in the younger cohort (9.9%) at a mean follow-up of 42 months (range 11-131 months), this was not statistically significant (p=0.27874). There were five free flap losses (6.9%) in the younger group and none in the older group. A greater proportion of patients from the younger cohort required further unplanned surgery (28%) compared to the older group (4.3%), which was statistically significant (p=0.01174). Seven patients (7.4%) had serious medical complications - five of whom were in the younger cohort, including one mortality.Conclusions: Both the young and old can enjoy satisfactory outcomes from surgical resection of chronic osteomyelitis with simultaneous orthoplastic reconstruction including free tissue transfer. Age alone should not be a barrier to potentially curative surgical treatment.

scholarly journals Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer—Case Report

OALib ◽  
2014 ◽  
Vol 01 (05) ◽  
pp. 1-5 ◽  
Author(s):  
Victoria Fung ◽  
Richard L. Chalmers ◽  
Jenny L. C. Geh
Keyword(s):  
Case Report ◽  
Free Tissue Transfer ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
Transfer Case

scholarly journals Costs and renumeration of osteomyelitis treatment involving free flaps: implications of return to theatre

2018 ◽  
Vol 3 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Rebecca Shirley ◽  
Janka Fazekas ◽  
Martin McNally ◽  
Alex Ramsden
Keyword(s):  
Chronic Osteomyelitis ◽  
Significant Risk ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Consecutive Series ◽  
Financial Loss ◽  
Tissue Transfer ◽  
Uk National Health Service ◽  
The Uk ◽  
Almost All

Abstract. Aim: This study aimed to define the costs of surgical management of chronic osteomyelitis where free tissue transfer was required in addition to debridement of bone, particularly the increased costs incurred by a return to theatre. We hypothesised that there would be a significantly greater cost when patients required re-exploration for vascular compromise.Method: We retrospectively analysed the costs of a consecutive series of sixty patient episodes treated at the Bone Infection Unit in Oxford from 2012 to 2015. Treatment involved excision of osteomyelitis with free tissue transfer for immediate soft tissue cover. We compared the costs of uncomplicated cases with those who returned to theatre and determined the profit / loss for the hospital from renumeration through the UK National Health Service Tariff Structure.Results: Hospital income according to UK HRG tariff was compared to the actual cost of treatment and these 60 cases were significantly underfunded overall (P < 0.005). In just 1 case, the cost to the hospital was completely covered by tariff.Six patients (10%) returned to theatre for urgent flap re-exploration with five flaps salvaged and one failed, requiring another free flap reconstruction (1.7%). These six patient episodes had a significantly higher mean cost compared to the uncomplicated cases. The average financial loss to the hospital for patients who did return to theatre was £19401 (range £8103 to £48380) and in those who did not was £9600 (range - £600 to £23717). The case requiring further free tissue transfer cost a total of £74158, £48380 more than the hospital was paid: the most extreme discrepancy. The overall loss for this group of 60 patients was £610 090.Conclusions: Surgery for chronic osteomyelitis is multidisciplinary, complex and therefore expensive with a significant risk of complications. However, this study demonstrates that the hospital currently makes a financial loss on almost all patients but especially if flap complications occur. This study has implications for the long term viability of specialist units treating this important disease.

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