Combined Plasty in Post-Traumatic Tibial Osteomyelitis (Clinical observation)

Author:

Smirnova G. O.1,Tskaev A. Yu.1,Denisov E. B.1,Demicheva T. A.1,Zalitis A. P.1,Gavrilov A. V.1

Affiliation:

1. GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko

Abstract

The article presents a clinical case of successful complex surgical management of a 62-year-old patient with chronic post-traumatic tibial osteomyelitis. A two-stage surgical treatment was aimed to sanitize a chronic purulent focus in the tibia lower third and to perform a complex reconstructive surgery aimed to correct bone and soft tissue defects. The reconstructive stage of the discussed complex surgical treatment consisted in combined plasty: a cavity in the bone was filled with bone grafts obtained from the iliac crest; and a skin and soft tissue defect was corrected with an islet sural musculocutaneous flap on the distal feeding pedicle. As a result, the surgeons could effectively correct tibia and soft tissues defects with good functional and cosmetic results.

Publisher

RPO Surgical Society - Wound and Wound Infections

Subject

General Medicine

Reference11 articles.

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3. Osteomyelitis: recommendations for treatment = Osteomiyelit: rekomendatsii po lecheniyu. Obshcherossiyskaya obshchestvennaya organizatsiya Assotsiatsiya travmatologov-ortopedov Rossii (ATOR), 2016. (In Russ.)

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