J Korean Fract Soc.  2010 Jan;23(1):122-136. 10.12671/jkfs.2010.23.1.122.

Post-traumatic Osteomyelitis

• Shon O
• Kwak ES
• Lee MH

• KMID: 1461584
• DOI: http://doi.org/10.12671/jkfs.2010.23.1.122

Abstract

No abstract available.

MeSH Terms

Osteomyelitis

Figure

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  Fig. 1 (A, B) Non-union was seen at osteomyelitis after left distal tibiofibular open fx.

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  Fig. 2 (A) A 53 years old man with osteomyelitis on tibia. (B) MRI showed osteomyelitis on mid shaft of tibia.

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  Fig. 3 (A) A 54 years old woman with left tibia open fracture. (B) Irrigation and debridement and external fixator was applied, but (C) above knee amputation was done due to osteomyelitis.

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  Fig. 4 (A) A 49 years old female with left proximal femur osteomyelitis. Open debridement and irrigation, dead bone debridement with bead insertion was done. Bead was applied widely from intramedullary to subcutaneous space. (B) After 4 weeks, bead was removed and internal fixation with locking plate by MIPO technique was done. (C) X-ray at post-op 6 weeks.

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  Fig. 5 (A) A 71 years old man with left lower leg osteomyelitis and compartment syndrome. (B) Debridement and irrigation and bead insertion was done, but couldn't close the skin. This is not recommended.

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  Fig. 6 (A) Left hand dorsum open wound with osteomyelitis. (B) Both leg degloving injury. (C) Forearm both bone fracture with degloving injury. In all case, after vacuum-assisted closure system was applied, granulation tissue was grown, and skin graft was done successfully.

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  Fig. 7 (A) OR/IF with tibia nail was done for right tibiofibular fracture. (B) 6 month after operation, osteomyelitis was developed. (C) All hardware remove and bead insertion was done.

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  Fig. 8 (A) A 57 years old female with left femur supracondylar open fracture. (B) Temporary external fixator was applied. (C) After open wound was healed, internal fixation with plate by MIPO technique was done. (D, E) 3 months later, bone union was seen and full range of motion was acquired.

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  Fig. 9 (A) A 49 years old man with right distal tibia open fracture. (B) OR/IF with skin graft was done but (C) osteomyelitis was developed. (D, E) Bone transfer using ilizarov was done. (F) OR/IF with plate using MIPO technique was done and (G) last follow up x-ray shows bone union.

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  Fig. 10 (A) A 55 years old man with right lower leg open wound. Gastrocnemius muscle head turn over flap was done. (B) A 48 years old man with left foot open fracture. Medial sural artery perforator free flap was done.

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