Pectoral Advancement Flap for the Treatment of Sternoclavicular Joint Infection

대흉근판 전이술을 이용한 흉쇄골 관절염의 치료

  • Bae, Chi-Hoon (Department of Thoracic and Cardiovascular Surgery, Daegu Catholic University Medical Center, The Catholic University of Daegu School of Medicine) ;
  • Park, Ki-Sung (Department of Thoracic and Cardiovascular Surgery, Daegu Catholic University Medical Center, The Catholic University of Daegu School of Medicine)
  • 배지훈 (대구가톨릭대학교 의과대학 대구가톨릭대학병원 흉부외과학교실) ;
  • 박기성 (대구가톨릭대학교 의과대학 대구가톨릭대학병원 흉부외과학교실)
  • Published : 2008.12.05

Abstract

Infection occurs very rarely in the sternoclavicular joint compared to other joints in the body. It occurs mainly in IV drug abusers, diabetics, chronic renal failure patients, septic patients and those with central vein catheters. In the early phase, it can be treated simply by antibiotics or incision, and drainage. However, when proper treatment is not begun. early, bone destruction can occur, and only en-bloc resection of the involved bone can cure it. To reduce the risk of recurrence, we advanced a pectoralis major flap into the resected area based on the feeding artery. We report a case of a patient with sternoclavicular osteomyelitis who was successfully treated using en-bloc resection and a pectoral advancement flap.

흉쇄골관절은 전신의 골관절염 중 매우 드물게 이환되는 부위로 주로 마약 중독자, 당뇨병, 만성 신부전, 폐혈증 환자, 및 중심 정맥 혈관 삽입 후에 주로 나타난다. 초기에는 항생제 치료, 단순 절제 및 배농술 등의 방법으로 치유될 수 있으나, 치료 시기를 놓치면 골수염으로 진행되어 광범위 절제가 필요하다. 그러나 재발할 가능성이 있으므로, 본원 흉부외과에서는 혈류를 유지한 대흉근판을 빈공간에 메워 넣어 재발 가능성을 줄여보고자 하였다. 골수염을 동반한 흉쇄골 관절염 환자를 성공적으로 치료하였기에 이에 보고하는 바이다.

Keywords

References

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