Clinical Study
Chronic Open Infective Lateral Malleolus Bursitis Management Using Local Rotational Flap
Table 1
Detailed database of patients.
| Number | Sex | Age | Wound duration | Cause | Past medical history | Pre-flap management | Wound size | Culture | Op time (min) | Anesthesia | Healing time (day) | Follow-up (months) | Last status |
| (1) | M | 74 | 3 months | Ulcer (bedridden) | Old CVA, DM, HTN, Parkinson disease, congestive heart failure | Simple closure (×1) VAC application | Small (2 × 2 cm) | E. coli | 60 | General | 43 | 8 | Pod 8 mo ulcer recur | (2) | M | 87 | 2 years | Ulcer (prolonged pressure) | DM, HTN | Simple closure (×1) | Medium (4 × 4 cm) | No growth | 55 | General | 81 | 39 | Venous congestion, scar healing, no problem | (3) | M | 82 | 2 months | Infection | HTN, CKD | Debridement (×1) | Medium (5 × 5 cm) | Morganella morganii | 50 | Spinal | Not healed | 4 | Venous congestion, flap failure, follow-up loss | (4) | M | 52 | 3 weeks | Infection | DM, HTN | Debridement (×1) | Small (2 × 2 cm) | Streptococcus pyogenes | 50 | Spinal | 46 | 20 | No problem | (5) | M | 61 | 3 months | Infection after surgery | Gastric cancer | Debridement (×1) | Medium (3 × 3 cm) | MSSA | 40 | Spinal | 14 | 25 | No problem | (6) | M | 87 | Several years | Infection | Alcoholic dementia, HTN, DM, gastric cancer, adrenal insufficiency | Simple closure (×3) | Small (2 × 3 cm) | Bacillus species, MSSA | 80 | General | 18 | 14 | Pod 14 mo infection recur | (7) | F | 88 | 4 months | Infection | HTN nephrectomy | Simple closure (×3) | Small (2 × 3 cm) | MRSA | 85 | Spinal | 22 | 2 | Well healed follow-up loss | (8) | F | 62 | 4 months | Infection (after self-callus resection) | HTN, CVA, ITP | Simple closure (×2) | Small (2 × 3 cm) | Pseudomonas | 90 | General | 16 | 20 | No problem |
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Op: operation, CVA: cerebral vascular accident, DM: diabetes mellitus, HTN: hypertension, CKD: chronic renal disease, Pod: postoperative day; MSSA: methicillin sensitive Staphylococcus aureus, and MRSA: methicillin resistant Staphylococcus aureus.
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