Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report
Varicose ulcer, a severe symptom of chronic venous insufficiency, may be refractory to treatment when accompanied by bone exposure. The lack of a blood supply and fresh granulation tissue on the exposed bone can result in a protracted healing time. A 59-year-old man suffered from varicose veins for...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-06-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X20936078 |
| _version_ | 1818109735049625600 |
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| author | Hong Li Yue Qin Liquan Wang Lin Tang Wenguang Zhao Wenjia Zhang Haichuan Dou |
| author_facet | Hong Li Yue Qin Liquan Wang Lin Tang Wenguang Zhao Wenjia Zhang Haichuan Dou |
| author_sort | Hong Li |
| collection | DOAJ |
| description | Varicose ulcer, a severe symptom of chronic venous insufficiency, may be refractory to treatment when accompanied by bone exposure. The lack of a blood supply and fresh granulation tissue on the exposed bone can result in a protracted healing time. A 59-year-old man suffered from varicose veins for 10 years, a varicose ulcer for 1 year, and an exposed right tibia for 40 days after using traditional Chinese medicinal plasters. The patient was treated with conventional high ligation and stripping of the great saphenous vein, segmental endovenous laser ablation, bone drilling, and a free skin graft. Patient outcome is satisfactory 2 years after discharge. We present a rare case of varicose ulcer in association with bone exposure. Tibia drilling with Kirschner wire was used to allow blood flow and provide nutrients for the formation of granulation tissue over the exposed bone and wound healing. Subsequently, free skin grafting was used during reconstructive surgery to replace skin loss on the right calf. Physicians encountering this rare condition in clinical practice should consider our treatment approach as a successful limb-preserving option for these patients. |
| first_indexed | 2024-12-11T02:35:58Z |
| format | Article |
| id | doaj.art-9fde4afdb5e447f5919e18fc672c1d31 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-11T02:35:58Z |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-9fde4afdb5e447f5919e18fc672c1d312022-12-22T01:23:43ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-06-01810.1177/2050313X20936078Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case reportHong Li0Yue Qin1Liquan Wang2Lin Tang3Wenguang Zhao4Wenjia Zhang5Haichuan Dou6Department of Vascular Surgery, The First Hospital of Jilin University, Changchun, ChinaDepartment of Vascular Surgery, The First Hospital of Jilin University, Changchun, ChinaDepartment of Gynaecology and Obstetrics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, ChinaDepartment of Vascular Surgery, The First Hospital of Jilin University, Changchun, ChinaDepartment of Vascular Surgery, The First Hospital of Jilin University, Changchun, ChinaDepartment of Emergency, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Nephropathy, The First Hospital of Jilin University, Changchun, ChinaVaricose ulcer, a severe symptom of chronic venous insufficiency, may be refractory to treatment when accompanied by bone exposure. The lack of a blood supply and fresh granulation tissue on the exposed bone can result in a protracted healing time. A 59-year-old man suffered from varicose veins for 10 years, a varicose ulcer for 1 year, and an exposed right tibia for 40 days after using traditional Chinese medicinal plasters. The patient was treated with conventional high ligation and stripping of the great saphenous vein, segmental endovenous laser ablation, bone drilling, and a free skin graft. Patient outcome is satisfactory 2 years after discharge. We present a rare case of varicose ulcer in association with bone exposure. Tibia drilling with Kirschner wire was used to allow blood flow and provide nutrients for the formation of granulation tissue over the exposed bone and wound healing. Subsequently, free skin grafting was used during reconstructive surgery to replace skin loss on the right calf. Physicians encountering this rare condition in clinical practice should consider our treatment approach as a successful limb-preserving option for these patients.https://doi.org/10.1177/2050313X20936078 |
| spellingShingle | Hong Li Yue Qin Liquan Wang Lin Tang Wenguang Zhao Wenjia Zhang Haichuan Dou Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report SAGE Open Medical Case Reports |
| title | Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report |
| title_full | Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report |
| title_fullStr | Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report |
| title_full_unstemmed | Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report |
| title_short | Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report |
| title_sort | varicose vein on right tibia post traumatic varicose ulcer and bone exposure a case report |
| url | https://doi.org/10.1177/2050313X20936078 |
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