Reverse sural flap with bifocal Ilizarov technique for tibial osteomyelitis with bone and soft tissue defects.
Publication/Presentation Date
1-1-2014
Abstract
Tibial osteomyelitis, in association with bone loss and a soft tissue defect, poses a significant reconstructive challenge, especially in high-risk patients. We describe a case of methicillin-resistant Staphylococcus aureus tibial osteomyelitis with intercalary bone loss successfully managed with bifocal Ilizarov compression osteogenesis at the bone resection site and proximal distraction osteogenesis, accompanied by a reverse sural fasciocutaneous flap performed with a delayed technique. When free tissue transfer is not a reconstructive option owing to medical comorbidities or patient refusal, the reverse sural flap combined with bifocal Ilizarov compression and distraction osteogenesis can provide a reconstructive option to achieve limb salvage for these challenging cases.
Volume
53
Issue
3
First Page
344
Last Page
349
ISSN
1542-2224
Published In/Presented At
Bibbo C. (2014). Reverse sural flap with bifocal Ilizarov technique for tibial osteomyelitis with bone and soft tissue defects. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 53(3), 344–349. https://doi.org/10.1053/j.jfas.2013.12.008
Disciplines
Medicine and Health Sciences
PubMedID
24534561
Department(s)
Department of Surgery
Document Type
Article
