use of fasciocutaneous flap in leg soft tissue deffects with underlying chronic osteomyelities

This study includes 22 cases of chronic osteomyeitis tibia with overlying soft tissue defects. The youngest age was fifteen and the eldest was sixty-five. Seventeen patients were males and five were females. In 10 patients chronic osteomyeitis [Ch.O.M] was a sequel to acute hematogenous type, in 8 due to open fracture tibia and in 4 patients it was secondary to chronic leg ulcer. All of them were treated by extensive debridement, sequestrectomy and fasciocutaneous flaps. The results were satisfactory in 18 patients [81.8%] and unsatisfactory in 4 patients [18.2%], with ecunence of bone infection in 3 patients and complete failure of flap in one patient