{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:50:12Z","timestamp":1784580612504,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated long-term results of treatment including creation of a gutter and muscle transposition in patients with chronic sclerosing osteomyelitis (CSO).\\r\\nMethods: Between 1980 and 1996, 11 patients (5 women, 6 men; mean age 36 years; range 17 to 69 years) with CSO were treated with creation of a gutter and muscle transposition. Seven patients had femoral, and four patients had tibial involvement. The main complaint was pain. The patients were evaluated with respect to complaints and radiologically (X-ray, computed tomography, and magnetic resonance imaging) after a mean follow-up of 12.4 years (range 6 to 24 years).\\r\\nResults: During the follow up period, all the patients remained symptom-free without the need for antibiotic treatment except for one patient with tibial involvement, whose pain recurred after five years. The patient\u2019s complaint disappeared following reoperation with the same technique. Histologic examination of surgical biopsies showed nonspecific changes consistent with low-grade chronic osteomyelitis. Cultures were negative in all cases. Control radiographies showed no progression of sclerosis. Computed tomography showed cortical bone formation surrounding the transposed muscle, and magnetic resonance imaging showed fatty degeneration in the transposed muscle, without any signs of active osteomyelitis.\\r\\nConclusion: The aim of gutter creation and muscle transposition is to increase blood supply to the diseased bone segment, without the need for microsurgical interventions and secondary reconstructive procedures. Our long-term results show that this technique is efficacious in patients with femoral and tibial involvement.\n\n\u00d6zet\n\nAma\u00e7: Kronik sklerozan osteomiyelit (KSO) tedavisinde olukla\u015ft\u0131rma ve kas ta\u015f\u0131ma tekni\u011finin uzun d\u00f6nem sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: 1980-1996 y\u0131llar\u0131 aras\u0131nda, KSO\u2019lu 11 hasta (5 kad\u0131n, 6 erkek; ort. ya\u015f 36; da\u011f\u0131l\u0131m 17-69) olukla\u015ft\u0131rma ve kas ta\u015f\u0131ma tekni\u011fi ile tedavi edildi. Yedi hastada femur, d\u00f6rt hastada tibia tutulumu vard\u0131. T\u00fcm olgularda temel yak\u0131nma a\u011fr\u0131 idi. Ortalama 12.4 y\u0131l (da\u011f\u0131l\u0131m 6-24 y\u0131l) olan takip s\u00fcresi sonunda yak\u0131nmalar\u0131 sorgulanan hastalar d\u00fcz grafiler, bilgisayarl\u0131 tomografi ve manyetik rezonans g\u00f6r\u00fcnt\u00fcleme ile de\u011ferlendirildi. \\r\\nSonu\u00e7lar: Takip s\u00fcresi i\u00e7inde bir olgu d\u0131\u015f\u0131nda hi\u00e7bir olguda semptomlarda tekrarlama ve antibiyotik gereksinimi olmad\u0131. Tibia tutulumlu bir hastada ameliyattan be\u015f y\u0131l sonra a\u011fr\u0131n\u0131n tekrarlad\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. Bu hasta ayn\u0131 teknikle tekrar ameliyat edildi ve sonras\u0131nda herhangi bir sorunla kar\u015f\u0131la\u015f\u0131lmad\u0131. Ameliyatta al\u0131nan biyopsilerin patolojik incelemesinde spesifik olmayan, d\u00fc\u015f\u00fck dereceli kronik osteomiyelit bulgular\u0131 saptand\u0131. K\u00fclt\u00fcrlerde ise \u00fcreme olmad\u0131. Kontrol radyografilerinde kemikteki sertle\u015fmede ilerleme g\u00f6r\u00fclmedi. Bilgisayarl\u0131 tomografide ta\u015f\u0131nan kas kitlesi \u00e7evresinde kortikal kemik olu\u015fumu, manyetik rezonans g\u00f6r\u00fcnt\u00fclerinde ise ta\u015f\u0131nan kas yap\u0131s\u0131nda ya\u011fl\u0131 dejenerasyon geli\u015fti\u011fi izlendi. Hi\u00e7bir olguda aktif osteomiyelit bulgusuna rastlanmad\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Olukla\u015ft\u0131rma ve kas ta\u015f\u0131ma tekni\u011finde ama\u00e7, mikrocerrahi giri\u015fimlere ve ikincil rekonstr\u00fcktif giri\u015fimlere ihtiya\u00e7 duyulmadan, tutulmu\u015f kemik b\u00f6l\u00fcm\u00fcndeki kanlanmay\u0131 art\u0131rmakt\u0131r. Uzun d\u00f6nem sonu\u00e7lar\u0131m\u0131z, femur ve tibia tutulumlu olgularda bu tekni\u011fin etkili oldu\u011funu g\u00f6stermektedir.<\/jats:p>","DOI":"10.3944\/aott.2009.510","type":"journal-article","created":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T15:23:57Z","timestamp":1265210637000},"page":"510-514","source":"Crossref","is-referenced-by-count":6,"title":["Longterm results of treatment including creation of a gutter and muscle transposition for chronic sclerosing osteomyelitis"],"prefix":"10.5152","volume":"43","author":[{"given":"Veli","family":"Lok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emin","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilmi","family":"Aydinok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2326\/2283","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:00Z","timestamp":1763463420000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.510","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}