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Management of Chronic Osteomyelitis by an Orthoplastic Team: 7-Year Experience of a University Hospital

dc.rights.licenseopenen_US
dc.contributor.authorTIERNY, Chloe
dc.contributor.authorCASOLI, Vincent
dc.contributor.authorCHADEFAUX, Gregoire
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDAUCHY, Frederic-Antoine
dc.contributor.authorFABRE, Thierry
dc.contributor.authorBELAROUSSI, Yaniss
dc.contributor.authorDELGOVE, Anais
dc.date.accessioned2021-08-24T10:01:28Z
dc.date.available2021-08-24T10:01:28Z
dc.date.issued2021-06-28
dc.identifier.issn0032-1052en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/110204
dc.description.abstractEnBACKGROUND: Treating chronic osteomyelitis of the lower extremities is challenging. The treatment of acute lower limb trauma by orthoplastic teams has shown good results over the past few decades. This study aimed to characterize surgical outcomes of leg and heel chronic osteomyelitis by an orthoplastic team. METHODS: The cases of 113 consecutive leg and heel chronic osteomyelitis patients undergoing soft-tissue reconstruction with an orthopedic procedure were reviewed in this retrospective single-center observational study. The main objective was to assess surgical outcomes of skin healing and gait recovery at the 1-year follow-up. The secondary objective was to evaluate the global success rate at the last follow-up. RESULTS: The median follow-up was 19.7 months. A free flap was performed for 33 patients (29.2 percent) and a locoregional flap was used in 79 patients (69.9 percent). Seventy-two patients (63.7 percent) had chronic osteomyelitis on continuous bone. The others had a septic pseudarthrosis with a mean bone defect length of 42.9 mm. Forty-four patients (38.9 percent) underwent curettage only, eight (7.1 percent) underwent curettage and cement, 20 (17.7 percent) underwent curettage and bone fixation, and 39 (34.5 percent) underwent the Masquelet technique. At the 1-year follow-up, 72 patients (63.7 percent) had achieved skin healing and had recovered their gait. The success rate at all follow-up time points was 82.3 percent. The median time to achieve skin healing was 6.5 months and that to bone union in cases of septic pseudarthrosis was 7.9 months. CONCLUSION: Orthoplastic management of leg and heel chronic osteomyelitis patients with combined soft-tissue reconstruction using an orthopedic procedure was a viable strategy that offered good results even though the time to complete healing was long. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
dc.language.isoENen_US
dc.title.enManagement of Chronic Osteomyelitis by an Orthoplastic Team: 7-Year Experience of a University Hospital
dc.typeArticle de revueen_US
dc.identifier.doi10.1097/prs.0000000000008175en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34181596en_US
bordeaux.journalPlastic and Reconstructive Surgeryen_US
bordeaux.page443-453en_US
bordeaux.volume148en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue2en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamMORPH3Eusen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03325057
hal.version1
hal.date.transferred2021-08-24T10:01:31Z
hal.exporttrue
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