Deep Infection after Limb Salvage for Malignant Bone Tumors.

概要

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We treated 5 patients who suffered from deep infection in preserved limbs after limb salvage procedures for malignant bone tumors. Sites included the femur in 2 patients and the proximal tibia in 3 patients. For reconstruction of the affected limbs, a prosthesis and an allograft had been used in 2 patients. In the remaining 3 patients, the involved bone and joint around the lesions had been preserved by radical control of the tumor utilizing intraoperative or preoperative radiotherapy.Under administration of various antibiotics, the infection was successfully treated in the 3 patients who underwent surgical debridement following a repeated wet gauze packing everyday for 3 to 5 weeks, and wound closure using a muscle flap or a vascularized fibula osteocutaneous flap. However, the remaining 2 patients required amputation because they had wide-spread damage of the surrounding soft tissues.
西日本整形・災害外科学会の論文