ArticleBMC musculoskeletal disorders2024
Simultaneous reconstruction of tibial osteomyelitis-complicated soft tissue defects using free flap transplantation in conjunction with the masquelet technique: a retrospective study.
Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Peri-knee soft tissue reconstruction using retrograde pedicled anterolateral thigh flaps with selective vascular supercharging: a retrospective study.BMC musculoskeletal disorders · 2026Article
- [Clinical application effects of vertical mattress suture combined with teardrop-shaped end-to-side arterial anastomosis technique in free flap transplantation for repairing limb wounds].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026Article
- Comparison of the clinical outcomes between the modified free musculocutaneous flap combined with delayed bone reconstruction technique and the free fasciocutaneous flap combined with Masquelet technique for post-traumatic osteomyelitis of the lower leg.BMC musculoskeletal disorders · 2026Article
- New Alternative Surgical Technique for Managing Proximal Tibia Chronic Osteomyelitis: Anterior Approach with Establishment of Bone Marrow Communication via Intramedullary Reaming.Journal of clinical medicine · 2025Article
- Effectiveness of the induced membrane technique in aseptic and infected long-bone defect management: Are there any differences?World journal of orthopedics · 2025Review
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7 authors.
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Abstract
objectiveTo investigate the clinical effect of anterolateral femoral free flap combined with Masquelet technique in the treatment of tibial osteomyelitis with wound surface.
methodsA retrospective study was conducted to analyze the clinical data of 25 patients with tibial osteomyelitis combined with defected wounds in Xijing Hospital of Fourth Military Medical University from Jun 2017 to Oct 2021. After one-stage treatment with free flap combined with Masquelet technique, the infection index, lower extremity function score (LEFS), and Mazur ankle function score were compared before bone defect repair and at the last follow-up.
resultsThe anterolateral femoral free flaps of 25 patients in phase I survived. The healing time of bone fracture after stage II operation was 8-12 months [(7.2 ± 0.9) months]. At the last follow-up, the infection index was significantly lower than that before bone defect repair (P < 0.01). The LEFS and Mazur ankle function scores [(56.2 ± 7.9) and (78.2 ± 16.1)] of the affected limb were significantly higher than those before bone defect repair [(26.0 ± 8.6) and (44.7 ± 18.2)] (P < 0.01). Wounds of all patients' legs healed well, without complications (foot drop, joint dysfunction, or deformity in the affected limbs).
conclusionThe anterolateral femoral free flap combined with Masquelet technique is an effective treatment strategy for tibial osteomyelitis combined with soft tissue defects. This technology can effectively repair limb trauma, inhibit infection, and improve flexion and extension functions of knee and ankle joint.
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