Vascularized fibular osteocutaneous grafts in the treatment of severely infected wrist arthritis.
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.
Taniguchi
Yasunori
Y
Department of Orthopaedic Surgery, Wakayama Medical University, Wakayama, Japan.
Yoshida
Munehito
M
Doi
Nobuhiro
N
Tamaki
Kouichi
K
Tamaki
Tetsuya
T
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*