Transposition of muscles in the treatment of chronic osteomyelitis

The procedure of monosegmental transpositions of skeletal muscles for plastic closure of osteal cavities has been developed, and 9 operations in 8 patients with chronic osteomyelitis have been performed. There were basic technical rules for the performance of the operations: necrsequestrectomy up to capillary hemorrhage out of osteal tissue, mobilization of muscles up to nourishing vessels and fixation of transferred part in osteal cavity by means of suturing by épimysium, prevention of muscle strangulation by relief incisions on fascia and skin in the projection of transferred graft in tight wound suturing or by partial wound suturing with the following covering of muscle surface by reticular skin graft, performance of the operation in 3 stages in the pronounced acute conditions of the process. Healing of the operative wound is attained in 100% patients. Osteomyelitis relapse within 12 months is not noted. Limited skin necrosis is revealed in postoperative period in 2 patients.