Ipsilateral Medial Fibular Transposition in A Case of Chronic Osteomyelitis of Tibia: A Case Report
Chronic osteomyelitis in adults is a rare disease. It is usually seen in patients with transient or chronic immune deficiency. Chronic osteomyelitis develops as a result of inadequate or improper treatment of acute osteomyelitis. Sometimes large sequestrum develops with massive destruction of bo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2015-07-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2060/9-%2013766_F(AK)_PF1(VSUAK)_PFA(AK).pdf |
| Summary: | Chronic osteomyelitis in adults is a rare disease. It is usually
seen in patients with transient or chronic immune deficiency.
Chronic osteomyelitis develops as a result of inadequate or
improper treatment of acute osteomyelitis. Sometimes large
sequestrum develops with massive destruction of bone.
Such a big sequestrum removal puts bone in real danger of
pathological fracture. In such cases ipsilateral fibular transposition can be done by Huntington’s procedure. Here we
are presenting a case of chronic osteomyelitis with massive
sequestrum formation, that was removed and saucerization
done and after controlling infection ipsilateral fibular transposition by Huntington’s procedure was done. Patient was
kept in above knee POP cast and following that a Patellar
Tendon Bearing (PTB) cast was put. When fibula was united
above knee walking caliper was given, which was continued
for two years for proper consolidation and incorporation
of graft. Screws removed after two years. After two years,
consolidation and integration of fibula was complete without any complication. Range of motion was full. Finally in
our patient ipsilateral fibular transfer to fill tibial gap gave
good result but required long follow-up |
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| ISSN: | 2277-8543 2455-6874 |