Management of large infected tibial defects with radical debridement and staged double-rib composite free transfer

Journal of Trauma - Injury, Infection and Critical Care

Volumn 40, Issue 3, 1996, Pages 345-350

  Ueng, Steve Wen Neng ^a   Chuang, David Chwei Chin ^a   Cheng, Shao Lung ^a   Shih, Chun Hsiung ^a  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; GENTAMICIN; POLY(METHYL METHACRYLATE);

ADULT; ARTICLE; BRACE; CLINICAL ARTICLE; DEBRIDEMENT; FEMALE; FRACTURE HEALING; HUMAN; INFECTION; INTRAVENOUS DRUG ADMINISTRATION; MALE; OSTEOMYELITIS; OSTEOSYNTHESIS; PRIORITY JOURNAL; RADIOGRAPHY; RIB GRAFT; SPLIT THICKNESS SKIN GRAFT; STRESS FRACTURE; TIBIA FRACTURE; WOUND HEALING;

EID: 0029915023     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005373-199603000-00003     Document Type: Article

References (26)

1. May JW, Jupiter JB, Weiland AJ, et al: Current concepts review: Clinical classification of post-traumatic tibial osteomyelitis. J Bone Joint Surg Am 71:1422, 1989
2. Weiland AJ: Current concept review: Vasculized free bone transfer. J Bone Joint Surg Am 63:166, 1981
3. Daniel RK: Mandibular reconstruction with free tissue transfers. Ann Plast Surg 1:346, 1978
4. Buncke HJ, Furnas DW, Gordon L, et al: Free osteocutaneous flap from a rib to the tibia. Plast Reconstr Surg 59:799, 1977
5. Ueng WN, Chung CW, Shih CH: Double-rib composite free transfer to reconstruct a single-spared lower extremity defect. J Trauma 38:210, 1995
6. Henry SL, Seligson P, Mangino P, et al: Antibiotic-impregnated beads. Part I: Bead implantation versus systemic therapy. Orthop Rev 20:242, 1991
7. Papham GJ, Mangino P, Seligson D, et al: Antibiotic-impregnated beads. Part II: Factors in antibiotics selection. Orthop Rev 20:331, 1991
8. Ueng WN, Shih CH: Semiopen cancellous bone grafting: A two step method for closing small infected tibial bone defects. Clin Orthop 306:175, 1994
9. Klemm K: Antibiotic bead chains. Clin Orthop 259:63, 1993
10. Patzakis MJ, Kai M, Wilkin J, et al: Septopal beads and autogenous bone grafting for bone defects in patients with chronic osteomyelitis. Clin Orthop 295:112, 1993
11. Cierny G, Mader JT: Classification and treatment of adult osteomyelitis. In Everts CM (ed): Surgery of the Musculoskeletal System. New York, Churchill-Livingstone, 1990, p 4337
12. Behrens F, Johnson WD: Unilateral external fixation: Methods to increase and reduce frame stiffness. Clin Orthop 241:48, 1989
13. Edward CC, Simons SC, Browner BD, et al: Severe open tibial fractures: Results treating 202 injuries with external fixation. Clin Orthop 230:98, 1988
14. Samiento A: Functional bracing of tibial fractures. Clin Orthop 105:202, 1974
15. Green SA: Complications of External Skeletal Fixation, Springfield, Ill., Charles C Thomas 1981, p 12
16. Green SA, Dlabal TA: The open bone graft for septic nonunion. Clin Orthop 180:117, 1983
17. Mathes SJ: The muscle flap for management of osteomyelitis. N Engl J Med 306:294, 1984
18. May JW, Gallico CG, Jupiter J, et al: Free latissimus dorsi muscle flap with skin graft for treatment of traumatic chronic bony wounds. Plast Reconstr Surg 73:641, 1984
19. Ruttle PE, Kelly PJ, Arnold PG, et al: Chronic osteomyelitis treated with a muscle flap. Orthop Clin North Am 15:451, 1984
20. Weiland AJ, Moore JR, Daniel PK: The efficacy of free tissue transfer in the treatment of osteomyelitis. J Bone Joint Surg Am 66:181, 1984
21. Baker AS, Greenham LW: Release of gentamicin from acrylic bone cement: Elution and diffusion studies. J Bone Joint Surg Am 70:1551, 1988
22. Kuechle DK, Landon GC, Musher DM, et al: Elution of vancomycin, daptomycin and amikacin from acrylic bone cement. Clin Orthop 264:302, 1991
23. Picknell B, Mizen L, Sutherland R: Antibacterial activity of antibiotics in acrylic bone cement. J Bone Joint Surg Br 59:302, 1977
24. Wilson KJ, Cierny G, Adams KR, et al: Comparative evaluation of diffusion of tobramycin and cefotaxime out of antibiotic-impregnated polymethylmethacrylate beads. J Orthop Res 6:279, 1988
25. Calhoun JH, Anger DM, Ledbetter BR, et al: The Ilizarov fixator and polymethylmethacrylate-antibiotic beads for the treatment of infected deformities. Clin Orthop 295:13, 1993
26. Green SA, Jackson JM, Wall DM, et al: Management of segmental defect by the Ilizarov intercalary bone transport method. Clin Orthop 280:136, 1992