Universität zu Köln

Weinand, Christian, Xu, Weiguo, Perbix, Walter, Theodorou, Panagiotis, Lefering, Rolf and Spilker, Gerald (2013). Deep sternal osteomyelitis: An algorithm for reconstruction based on wound width. J. Plast. Surg. Hand Surg., 47 (5). S. 355 - 363. NEW YORK: INFORMA HEALTHCARE. ISSN 2000-656X

Full text not available from this repository.

Abstract

Patients with sternum osteomyelitis are transferred to plastic surgery departments for wound coverage. Several options of flap coverage are known; however, various wound diameters need different flaps. In a retrospective study, 135 patients from 2006-2010 with deep sternal wound infections were evaluated. From 2006-2009 various flaps were used for wound coverage, as described in published reports. In 2010 a developed algorithm was used for defect coverage based on wound width using pectoralis muscle flaps or the latissimus dorsi muscle flap. Two groups of patients were analyzed, from 2006-2009 and 2010, and in a matched pair analysis patients with small wound width less than 6 cm, medium wounds widths between 6-12 cm, and large wound width larger than 12 cm. End-point was wound dehiscence larger than 1 cm. Statistical analysis was done by Mann Whitney U-test using the SPSS program. Forty-eight patients were included in the match from a total of 130 study patients. Statistical analysis did not show significant difference in patient population of the two groups. In the group with wound sizes less than 6 cm a significant difference was found when using the algorithm. In the other groups no statistically significant difference was seen; however lesser numbers in wound dehiscence were found. In addition, a significantly lesser length of stay was found in the ICU and length of the hospital stay for all groups treated according to the algorithm. A reduction of costs may be achieved when using the algorithm based on wound size.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Weinand, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Xu, Weiguo UNSPECIFIED UNSPECIFIED UNSPECIFIED Perbix, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED Theodorou, Panagiotis UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Spilker, Gerald UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-475066
DOI:	10.3109/2000656X.2013.769441
Journal or Publication Title:	J. Plast. Surg. Hand Surg.
Volume:	47
Number:	5
Page Range:	S. 355 - 363
Date:	2013
Publisher:	INFORMA HEALTHCARE
Place of Publication:	NEW YORK
ISSN:	2000-656X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MUSCLE FLAPS; CARDIAC-SURGERY; HEART SURGERY; INFECTIONS; MANAGEMENT; COMPLICATIONS; MEDIASTINITIS; CLOSURE Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47506