Abstract:
STUDY DESIGN:A surgical technique for primary closure of postoperative subfascial infections is described. OBJECTIVES:To describe the methods and indications for the use of the interconnected latissimus dorsi-gluteus maximus flap. SUMMARY OF BACKGROUND DATA:Closure of subfascial postoperative infection can be complicated by soft tissue defects and retained implants. Healing by secondary intention is expensive and gives unpredictable coverage of retained hardware. METHODS:A bilateral interconnected latissimus dorsi-gluteus maximus flap was used to cover resultant soft tissue defects according to techniques previously described for the delayed primary closure of myelomeningocele defects. RESULTS:Stable, durable, drainage-free soft tissue coverage was obtained in all patients treated with this technique. CONCLUSION:The latissimus dorsi-gluteus maximus flap represents an effective, economical option for the treatment of patients with subfascial infection after instrumented spinal fusion surgery.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Frank CJ,Brantigan J,Cronan Jdoi
10.1097/00007632-199703010-00021subject
Has Abstractpub_date
1997-03-01 00:00:00pages
564-7issue
5eissn
0362-2436issn
1528-1159journal_volume
22pub_type
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