Please use this identifier to cite or link to this item: https://doi.org/10.1302/0301-620X.92B3.22115
DC FieldValue
dc.titleThe use of muscle flaps in the salvage of infected exposed implants for internal fixation
dc.contributor.authorTan, K.-J.
dc.contributor.authorLim, C.-T.
dc.contributor.authorLim, A.Y.-T.
dc.date.accessioned2016-07-08T09:28:54Z
dc.date.available2016-07-08T09:28:54Z
dc.date.issued2010-03
dc.identifier.citationTan, K.-J., Lim, C.-T., Lim, A.Y.-T. (2010-03). The use of muscle flaps in the salvage of infected exposed implants for internal fixation. Journal of Bone and Joint Surgery - Series B 92 (3) : 401-405. ScholarBank@NUS Repository. https://doi.org/10.1302/0301-620X.92B3.22115
dc.identifier.issn0301620X
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/125583
dc.description.abstractThe treatment of infected exposed implants which have been used for internal fixation usually involves debridement and removal of the implant. This can result in an unstable fracture or spinal column. Muscle flaps may be used to salvage these implants since they provide soft-tissue cover and fresh vascularity. However, there have been few reports concerning their use and these have concentrated on the eradication of the infection and successful soft-tissue cover as the endpoint. There is no information on the factors which may influence the successful salvage of the implant using muscle flaps. We studied the results and factors affecting outcome in nine pedicled muscle flaps used in the treatment of exposed metal internal fixation with salvage of the implant as the primary endpoint. This was achieved in four cases. Factors predicting success were age < 30 years, the absence of comorbid conditions and a favourable microbiological profile. The growth of multiple organisms, a history of smoking and the presence of methicillin-resistant Staphylococcus aureus on wound cultures indicated a poor outcome. The use of antibiotic beads, vacuum-assisted closure and dressing, the surgical site, the type of flap performed and the time from primary surgery to flap cover were not predictive of outcome. ©2010 British Editorial Society of Bone and Joint Surgery.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1302/0301-620X.92B3.22115
dc.sourceScopus
dc.typeArticle
dc.contributor.departmentORTHOPAEDIC SURGERY
dc.description.doi10.1302/0301-620X.92B3.22115
dc.description.sourcetitleJournal of Bone and Joint Surgery - Series B
dc.description.volume92
dc.description.issue3
dc.description.page401-405
dc.description.codenJBSUA
dc.identifier.isiut000275006000013
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