Authors

Chunmei Dai, Kai huang, gouping ma*

Departments

Department of Orthopedics, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang310012, China

Abstract

 Objective: To investigate the efficacy of the posterior tibial artery perforator in combination with the bone grafting on the traumatic osteomyelitis in middle and distal tibia and the effect on the prognosis.

Methods: A total of 68 patients who were diagnosed as the traumatic osteomyelitis in middle and distal tibia between January 2012 and January 2016 were enrolled into this study for retrospective analysis. All patients underwent the one-stage debridement, bone grafting and flap grafting, followed by the intravenous infusion of antibiotics for treatment. Thereafter, all patients received the continuous 2-year follow up to observe the recurrence rate of the osteomyelitis and the ankle function.

Results: At two years after operation, 3 patients reported the recurrence of osteomyelitis, with satisfying recovery of the ankle function.

Conclusion: For one-stage treatment of traumatic osteomyelitis in the middle and distal tibia, posterior tibial artery perforator in combination with the bone grafting augments the cure rate, and, thus, is worthy of being promoted in clinical practice.

Keywords

Posterior tibial artery perforator, bone grafting, traumatic osteomyelitis, tibia, one-stage treatment

DOI:

10.19193/0393-6384_2020_3_294