comparative study between the use of local muscle flap and open cancellous bone grafting in management of infected bone cavities

ABSTRACT

A comparative study between the use of local muscle flaps versus cancellous bone grafting in management of infected bone cavities, Knowing that osteomyelitis is a disease once established, is extraordinarily difficult to cure even with long term antibiotic treatment. The study included 24 patients, divided into two groups. Group I, included 12 patients for which, cancellous bone grafts were used to fill in the bone defects after adequate debridement. While group II included another 12 patients for which local transposition muscle flaps were used to fill in the bone defects. Both methods were emphasized as regards; the technique, prerequisites and stages. A comparison between the results of both techniques is highlighted with special emphasis to the advantages and disadvantages of each. It was concluded that the use of muscle flap was found to be advantageous over cancellous bone grafting regarding the improvement in the local environment following proper debridement of all necrotic bone as well as better control of infection