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6th Internet World Congress for Biomedical Sciences

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ESTERNUM OSTEOMIELITYS: RIB ALLOGRAFT AND HEMITURNOVER AND ADVANCEMENT PECTORALIS MAJOR FLAPS

MŞ Jesús Martínez González(1), Alejandro Nogueira(2), Olatz Alcelay(3)
(1)(2)(3)Hospital Central de Asturias - OVIEDO. Spain

Discussion Board Contact address: MŞ Jesús Martínez González
Hospital Central de Asturias
OVIEDO
ASTURIAS 33004 Spain
mariogonzalez@papps.org
[ABSTRACT] [INTRODUCTION] [MATERIAL & METHODS] [RESULTS] [IMAGES] [IMAGES-2] [DISCUSSION] [CONCLUSIONS] [BIBLIOGRAPHY] [Discussion Board]
Main Page Previous: GENTAMICIN CONTAINING SURGICAL BONE CEMENT: IN VITRO ELUTION CHARACTERISTICS OF PALACOS® AND PALAMED® Previous: EPITHELIAL SKIN CANCER IN HEAD AND NECK INTRODUCTION
[Orthopedics & Traumatology]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW		 [Plastic Surgery]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW

ABSTRACT

A 76-year-old diabetic woman is operated to perform a valvuloplasty through a medial esternotomy. She developes an acute infectiom of the wound (ps. aeruginosa), bone necrosis and dehiscence. She is surgically debridided twice, leading to a defect of the two lower thirds of the esternum, and a skin defect of the lower esternum.

The patient is reconstructed with the following plan: final debridement; chest wall stabilization with a rib allograft fixed with memory retention staples between fifth costal cartilages; dead espace obliterated with two muscle flaps. To fill the defect behind the rib graft we used a caudal hemi-turnover right pectoralis major flap, based on internal mammary artery parasternal perforators; over the costal graft was placed a complete left pectoralis major advancement flap based on the thoracodorsal axis, with humeral insertion detachment. Skin defect was closed primarily. Evolution is favourable.

Two years later the allograft is in place, chest box is stable and arm adduction is persistent.

Keywords: Muscle flaps - bone -
Discussion Board
Discussion Board

Any Comment to this presentation?

[ABSTRACT] [INTRODUCTION] [MATERIAL & METHODS] [RESULTS] [IMAGES] [IMAGES-2] [DISCUSSION] [CONCLUSIONS] [BIBLIOGRAPHY] [Discussion Board]
Main Page Previous: GENTAMICIN CONTAINING SURGICAL BONE CEMENT: IN VITRO ELUTION CHARACTERISTICS OF PALACOS® AND PALAMED® Previous: EPITHELIAL SKIN CANCER IN HEAD AND NECK INTRODUCTION
[Orthopedics & Traumatology]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW		 [Plastic Surgery]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW
MŞ Jesús Martínez González, Alejandro Nogueira, Olatz Alcelay
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