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Combined Plasty in Post-Traumatic Tibial Osteomyelitis (Clinical observation)

https://doi.org/10.25199/2408-9613-2022-9-4-24-31

Abstract

The article presents a clinical case of successful complex surgical management of a 62-year-old patient with chronic post-traumatic tibial osteomyelitis. A two-stage surgical treatment was aimed to sanitize a chronic purulent focus in the tibia lower third and to perform a complex reconstructive surgery aimed to correct bone and soft tissue defects. The reconstructive stage of the discussed complex surgical treatment consisted in combined plasty: a cavity in the bone was filled with bone grafts obtained from the iliac crest; and a skin and soft tissue defect was corrected with an islet sural musculocutaneous flap on the distal feeding pedicle. As a result, the surgeons could effectively correct tibia and soft tissues defects with good functional and cosmetic results.

About the Authors

G. O. Smirnova
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Galina O. Smirnova – MD, Doctor of Medical Sciences, Director of Tsiolkovsky Kaluga State Medical Institute, Associate Professor of the Department of Surgery of Tsiolkovsky Kaluga State Medical Institute

3 Oktyabrskaya, 248000, Kaluga



A. Yu. Tskaev
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Alan Yu. Tskaev – MD, Candidate of Medical Sciences, Associate Professor of the Department of Surgery in Tsiolkovsky Kaluga State Medical Institute, Chief Physician 

3 Oktyabrskaya, 248000, Kaluga



E. B. Denisov
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Eugene B. Denisov – MD, Candidate of Medical Sciences, Head of the Department of Purulent Surgery

3 Oktyabrskaya, 248000, Kaluga



T. A. Demicheva
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Tatiana A. Demicheva – MD, surgeon in the Department of Purulent Surgery

3 Oktyabrskaya, 248000, Kaluga



A. P. Zalitis
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Andrey P. Zalitis – MD, surgeon in the Department of Purulent Surgery

3 Oktyabrskaya, 248000, Kaluga



A. V. Gavrilov
GBUZ KO Kaluga Regional, Clinical Emergency Hospital named after V.I. K. N. Shevchenko
Russian Federation

Alexei V. Gavrilov – MD, surgeon of the Department of Purulent Surgery

3 Oktyabrskaya, 248000, Kaluga



References

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Review

For citations:


Smirnova G.O., Tskaev A.Yu., Denisov E.B., Demicheva T.A., Zalitis A.P., Gavrilov A.V. Combined Plasty in Post-Traumatic Tibial Osteomyelitis (Clinical observation). Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2022;9(4):24-31. (In Russ.) https://doi.org/10.25199/2408-9613-2022-9-4-24-31

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ISSN 2408-9613 (Print)
ISSN 2500-0594 (Online)
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