Reconstruction of large infected tibia defects

Twenty-nine patients are reported who underwent free tissue transfer reconstruction of contaminated tibia defects with both soft tissue defects and osteomyelitis. Infection was controlled through the use of a two-stage composite tissue reconstruction. In the first stage, the wounds were closed with...

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Bibliographic Details
Published inAnnals of plastic surgery Vol. 29; no. 2; p. 97
Main Authors Vitkus, K, Vitkus, M
Format Journal Article
LanguageEnglish
Published United States 01.08.1992
Subjects
Adolescent
Adult
Follow-Up Studies
Fractures, Open - diagnostic imaging
Fractures, Open - surgery
Humans
Male
Microsurgery - methods
Osteomyelitis - diagnostic imaging
Osteomyelitis - surgery
Postoperative Complications - diagnostic imaging
Postoperative Complications - surgery
Radiography
Reoperation
Surgical Flaps - methods
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
Wound Infection - diagnostic imaging
Wound Infection - surgery
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Summary:Twenty-nine patients are reported who underwent free tissue transfer reconstruction of contaminated tibia defects with both soft tissue defects and osteomyelitis. Infection was controlled through the use of a two-stage composite tissue reconstruction. In the first stage, the wounds were closed with the free muscle or skin flap. Bone defects were bridged with vascularized bone grafts within 6 to 12 weeks after soft tissue closure. Twenty patients underwent reconstruction using iliac crest, whereas nine patients were treated with fibular transfer. The follow-up period for 28 patients ranged from 10 months to 6 years until bone union was completed. The bone united smoothly in 22 patients, but union of the other six grafts was delayed and required additional cancellous bone grafting.
ISSN:0148-7043
DOI:10.1097/00000637-199208000-00001