Assuntos
Bandagens , Curativos Biológicos , Ovinos , Curtume , Animais , Humanos , Infecções/etiologia , Preservação de Órgãos/métodos , Dor/etiologia , Transplante de Pele , CicatrizaçãoRESUMO
Chronic osteomyelitis is a frequent complication after compound fractures of the lower extremity. Essential in the treatment is the radical debridement of all scar tissue, muscle and infected bone. This often creates large tissue defects, which especially in the distal third of the tibia, can only be closed with a free tissue transfer and revascularized by a microvascular anastomosis. Ten patients were operated on for chronic osteomyelitis of the lower extremity. The latissimus dorsi or rectus abdominis muscle was used as a free flap. During the follow-up period (3-18 months) 9 patients have remained free of symptoms of recurrence.
Assuntos
Músculos/transplante , Osteomielite/cirurgia , Retalhos Cirúrgicos , Adulto , Doença Crônica , Humanos , Métodos , Microcirurgia , Pessoa de Meia-Idade , Osteomielite/etiologia , Fraturas da Tíbia/complicaçõesRESUMO
A 17-month-old child with an asymmetrical bulging of the chest due to an intramural fibroma of the heart is described. The clinical symptoms that may be caused by cardiac tumours are discussed. To detect these tumours several investigations can be performed, of which echocardiography is the most specific. Surgical resection of these tumours should be attempted, even if a complete resection is not possible.