title: Vascularized fibular osteocutaneous grafts in the treatment of severely infected wrist arthritis.
abstract: The authors successfully treated two cases of wrist arthritis severely infected by Staphylococcus aureus and Mycobacterium tuberculosis with vascularized fibular osteocutaneous grafts. The surgical procedure was divided into two stages, with extensive debridement of the infected wrist joint, and reconstruction with a vascularized fibular osteocutaneous flap. This two-staged surgery yielded complete amelioration of the severely infected wrist arthritis, and permanent stabilization of the wrist joint.
authors.affiliation: Department of Orthopaedic Surgery, Wakayama Medical University, Wakayama, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Taniguchi
authors.forename: Munehito
authors.initials: M
authors.lastname: Yoshida
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Doi
authors.forename: Kouichi
authors.initials: K
authors.lastname: Tamaki
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tamaki
mesh_terms: D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013524:Surgical Flaps; D014182:Transplantation, Autologous; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*