Septic arthritis and osteomyelitis of the wrist: reconstruction with a vascularized fibular graft.
A case of spontaneous staphylococcus arthritis of the wrist with associated carpal and distal radius osteomyelitis is reported. Following sequential debridements and a 6-week course of parenteral antibiotics, an extensive defect was bridged with a vascularized fibular autograft to achieve a successful fusion. There was no donor site morbidity or recurrent infection. Follow-up radiographs 41 months later demonstrated complete incorporation and hypertrophy of the graft.
Chin
K R
KR
Orthopaedic Hand Service, Massachusetts General Hospital and Harvard Medical School, Boston 02114, USA.
Spak
J I
JI
Jupiter
J B
JB
D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D016025:Bone Transplantation; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D011859:Radiography; D011884:Radius; D013203:Staphylococcal Infections / Q000601:surgery; D014955:Wrist Joint / Q000000981:diagnostic imaging