Abstract
A soft tissue defect is one of the most difficult problems that may accompany bone defects. Plastic surgery is often required. During distraction osteogenesis, not only the bone but also the soft tissues are lengthened, which may help in spontaneous closure of the soft tissue defects. This study examines 11 cases of composite bone and soft tissue defects which were managed by distraction osteogenesis. After debridement of the necrotic tissues, the soft tissue defects ranged from three by four centimetres to five by 14 centimetres and the bone defects ranged from four to 12 centimetres. All the soft tissue defects healed during the process of bone transport without the need for plastic surgery, except in one case. The complications were successfully managed during the course of treatment. Distraction osteogenesis is a good method for simultaneous treatment of composite bone and soft tissue defects.
Résumé
La perte de substance tissulaire est un des problèmes les plus difficile à traiter lorsque cette perte de substance est associée à une perte de substance osseuse. Dans ce cas là, la chirurgie plastique est parfois nécessaire. Durant l’ostéogenèse en distraction, l’allongement ne concerne pas seulement l’os mais également les tissus mous, celle-ci pouront entraîner une cicatrisation spontanée des pertes de substances tissulaires.11 cas de perte de substances osseuses associés à des pertes de substances tissulaires ont été traitées par ostéogenèse en distraction. Après nettoyage et excision des tissus nécrotiques la perte de substance tissulaire était comprise entre 3 × 4 et 5 × 14 cm et la perte de substance osseuse de 4 à 12 cm. Toutes les pertes de substances tissulaires ont cicatrisé durant le processus de transport osseux sans nécessiter une chirurgie reconstructrice plastique en dehors d’un seul cas. Toutes les complications ont été traitées avec succès au cours de l’allongement. L’ostéogenèse en distraction est une excellente méthode pour traiter de façon simultanée les pertes de substances osseuses et les pertes de substances tissulaires.
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El-Alfy, B., El-Mowafi, H. & El-Moghazy, N. Distraction osteogenesis in management of composite bone and soft tissue defects. International Orthopaedics (SICOT) 34, 115–118 (2010). https://doi.org/10.1007/s00264-008-0574-3
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DOI: https://doi.org/10.1007/s00264-008-0574-3