Treatment of post-traumatic tibial osteomyelitis using microsurgical flaps.
Between 1994 and 1998, the authors treated 70 patients presenting with post-traumatic tibial osteomyelitis. Eighty-five percent were males, with a mean patient age of 32 years. The mean duration of the disease was 2 years. Fifty-one percent were of type IV in the Cierny-Mader classification. The mean follow-up period was 36 months. Case management was through thorough debridement, antibiotic therapy, and soft-tissue reconstruction using free flaps: latissimus dorsi (39.4 percent), scapular (28.2 percent), lateral arm (19.7 percent), and anterior serratus (12.7 percent). To evaluate the results, the control of infection and the quality of the soft tissue repaired were considered. The success rate was 90 percent. The authors conclude that their described method constitutes an effective treatment for post-traumatic tibial osteomyelitis.
Zumiotti
Arnaldo V
AV
Department of Orthopedic Surgery and Plastic Division, Hospital das Clinica, University of São Paulo, Brazil.
Teng
Hsiang Wei
HW
Ferreira
Marcus C
MC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D002648:Child; D002939:Ciprofloxacin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003646:Debridement; D016267:External Fixators; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D010019:Osteomyelitis / Q000145:classification* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000517:prevention & control; D013211:Staphylococcus aureus; D013524:Surgical Flaps; D013977:Tibia / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D002981:Clindamycin; D002939:Ciprofloxacin