Аннотация:
Aim. Study of the remote results free flaps usage in treatment of patients with the late radiation injuries complicated by tibial bone osteomyelitis. Material and methods. Our work is based on a retrospective study of treatment of eight patients with late radiation tissue injuries and chronic osteomyelitis of the tibia. In them we performed 9 operations using free, vascularized flaps. According to RTOG/EORTC Late Radiation Morbidity Scoring Scheme, skin lesions corresponded to grade IV, bone damage – grade II–III. In the zone of the late radiation injuries, the lesion of the cortical plate of the tibia was detected in 5 patients, a lesion that occurred more than a third of the tibial circumference – in 3 patients. 6 patients had cicatricial osteomyelitis form, and 2 had osteomyelitis with the inclusion of a chronic draining fistula. Late radiation ulcer was emerged in all patients after previous radiotherapy in a total dose of 40 to 60 Gy for different types of neoplasms. For 7 patient
Зелянин А. С. Александр Сергеевич 1969-
Филиппов В. В.
Дубров В. Е.
Месхи К. Т. Кахабер Теймуразович 1974-
Келбан Д. И.
Зелянин Д. А.
Zelyanin A. S. Aleksandr Sergeevich 1969-
Filippov V. V.
Dubrov V. E.
Meskhi K. T. Kakhaber Tejmurazovich 1974-
Kelban D. I.
Zelyanin D. A.
The microsurgical tissue autotransplantation in the treatment of late radiation tissue injuries with complicated osteomyelitis of the tibia [МИКРОХИРУРГИЧЕСКАЯ АУТОТРАНСПЛАНТАЦИЯ ТКАНЕЙ В ЛЕЧЕНИИ БОЛЬНЫХ С ПОЗДНИМИ ЛУЧЕВЫМИ ПОРАЖЕНИЯМИ, ОСЛОЖНЕННЫМИ ОСТЕОМИЕЛИТОМ БОЛЬШЕБЕРЦОВОЙ КОСТИ]
The microsurgical tissue autotransplantation in the treatment of late radiation tissue injuries with complicated osteomyelitis of the tibia...
Текст визуальный непосредственный
Клиническая и экспериментальная хирургия. Журнал имени академика Б.В. Петровского
Издательская группа "ГЭОТАР-Медиа"
Т. 6, Вып. 4 С. 6-16
2018
Статья
Late radiation ulcer Local radiation injury Microsurgical tissue autotransplantation Osteomyelitis
Aim. Study of the remote results free flaps usage in treatment of patients with the late radiation injuries complicated by tibial bone osteomyelitis. Material and methods. Our work is based on a retrospective study of treatment of eight patients with late radiation tissue injuries and chronic osteomyelitis of the tibia. In them we performed 9 operations using free, vascularized flaps. According to RTOG/EORTC Late Radiation Morbidity Scoring Scheme, skin lesions corresponded to grade IV, bone damage – grade II–III. In the zone of the late radiation injuries, the lesion of the cortical plate of the tibia was detected in 5 patients, a lesion that occurred more than a third of the tibial circumference – in 3 patients. 6 patients had cicatricial osteomyelitis form, and 2 had osteomyelitis with the inclusion of a chronic draining fistula. Late radiation ulcer was emerged in all patients after previous radiotherapy in a total dose of 40 to 60 Gy for different types of neoplasms. For 7 patient