Open Access
Subscription Access
Open Access
Subscription Access
A Case of Major Bone Loss of Tibia Treated by Tibialisation of Fibula
Subscribe/Renew Journal
Compound injuries with bone loss have a propensity to develop infective non-union. If major bone loss occures then choices of treatment left are vascularized bone grafting, custom mega prosthesis, Ilizarov fixation, and Huntington procedure.
Here we report a case of 3-year-old child who suffered compound grade III injury to lower leg, which developed into infective non-union over a period of 5 years, for which she was treated, and eventually tibialisation of the fibula was performed.
Keywords
Osteomyelitis, Non-Union, Tibialisation
Subscription
Login to verify subscription
User
Font Size
Information
- Keating, J.F., Simpson, A.H.R.W. and Robinson, C.M. (2005) The Management of Fractures with Bone Loss. The Journal of Bone & Joint Surgery, 87B, 142-150.
- Kirsner RS, Spencer J, Falanga V, Garland LE, Kerdel FA. Squamous cell carcinoma arising in osteomyelitis and chronic wounds. Treatment with Mohs micrographic surgery vs. amputation. Dermatol Surg 1996;22:1015-8.
- Spiegel DA, Penny JN. Chronic osteomyelitis in children. Techniques in Orthopaedics. 2005 Jun 1;20(2):142-52.
- Huntington TW. Case of bone transference: Use of a segment of fibula to supply a defect in the tibia. Ann Surg. 1905;41:249–251.
- Catagni, M.A., Camagni, M., Combi, A. and Ottaviani, G. Medial Fibula Transport with Ilizarov Frame to Treat Massive Tibial Bone Loss. Clinical Orthopaedics and Related Research, 448, 208-216.
- Weiland AJ, Daniel RK. Microvascular anastomoses for bone grafts in the treatment of massive defects in bone. J Bone Joint Surg Am 1979;61:98-104.
- Al-Zahrani S, Harding MG, Kremli M, Khan FA, Ikram A, Takroni T. Free fibular graft still has a place in the treatment of bone defects. Injury 1993;24:551-4.
- De Boer HH, Wood MB, Hermans J. Reconsruction of large skeletal defects by vascularized fibular transfer. Factors that influence the outcome of union in 62 cases. Int Orthop 1990;14:121-8.
- Kassab M, Samaha C, Saillant G. Ipsilateral fibular transposition in tibial nonunion using huntington procedure: A 12-year followup study. Injury 2003;34:770-5.
- Chacha PB, Ahmed M, Daruwalla JS. Vascular pedicle graft of the ipsilateral fibula for nonunion of the tibia with a large defect. An experimental and clinical study. J Bone Joint Surg Br 1981;63:244-53
- Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 1975;55:533-44.
- Agiza AR. Treatment of tibial osteomyelitic defects and infected pseudarthroses by the huntington fibular transference operation. J Bone Joint Surg Am 1981;63:814-9.
Abstract Views: 400
PDF Views: 0