Greater omentum was chosen to treat chronic osteomyelitis in 12 cases. The involved bones included cranium in 5, tibia and fibula in 4 and metatarsus in 3. After thorough debridement, all patients had partial defects of bone, skin and soft tissue. The defect was filled with vascularized autogenous greater omentum by anastomosing with the host vessels. Theskin defect was covered with medium-thickness skin graft. After 3~9 years follw-up, no recurrence of osteomyelitis and no abdominal symptoms were observed in 11 cases. The osteomyelitis recurred in 1 case at 4 months after operation and died of squamous carcinoma 1 year later. It was suggested that transfer of vascularizedautogenous greater omentum was valuable in treating chronic osteomyelitis.
Citation: Liu Qiang,Mong Qingshui,Zhang Zhengzhi et al.. TRANSFER OF VASCULARIZED GREATER OMENTUM IN REPAIRING CHRONIC OSTEOMYELITIS WITH SKIN DEFECT. Chinese Journal of Reparative and Reconstructive Surgery, 1996, 10(2): 90-91. doi: Copy