title: Muscle transposition for treatment and prevention of chronic post-traumatic osteomyelitis of the tibia.
abstract: There is considerable difference of opinion about how patients with open tibial fractures and considerable loss of skin should be treated. The incidence of long-term complications from such lesions--that is, chronic ulceration and chronic osteomyelitis--apparently is not recorded, but many cases undoubtedly exist and are under treatment by methods that are short of curative. Successful results in forty-three patients were obtained by muscle transposition and delayed skin-grafting. Early coverage of open fractures of the tibia with soft tissue will prevent the later development of osteomyelitis, ulceration, and, perhaps to some extent, non-union.
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D007871:Leg Ulcer / Q000517:prevention & control; D008875:Middle Aged; D009132:Muscles / Q000601:surgery*; D010019:Osteomyelitis / Q000517:prevention & control*; D016038:Skin Transplantation; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery; D014182:Transplantation, Autologous