Resumo

GARCIA MOREIRO, Reynol Delfín; COLLAZO ALVAREZ, Hilario; ESTENOZ ESQUIVEL, Juan Carlos  e  AYUP GARCIA, Diana. Surgical alternative in the treatment of acute osteomyelitis after open tibia fracture: A case report. Rev Cubana Ortop Traumatol [online]. 2000, vol.14, n.1-2, pp. 73-76. ISSN 1561-3100.

A case of open fracture of the inferior third of the right tibia and perone is presented. Débridement and osteosynthesis are performed as emergency procedures. Necrotic signs in soft parts with acute osteomyelitis are later observed. All the necessary general care is maintained. RALCA external fixators and free skin graft in granulation tissue are used. The latter procedure was unfruitful due to the persistence of the above-mentioned signs. Next, Filatov’s tube is made and transported by stages from the righ tight to the affected zone. As a result, sepsis is cured and the closure of 100 % of the skin loss is attained. Finally, the external fixator is removed and the tibia is approached by the posterior part of the leg to place the iliac crest bony graft.

Palavras-chave : OSTEOMYELITIS [therapy]; TIBIAL FRACTURES [surgery]; FRACTURE FIXATION; EXTERNAL FIXATORS; FRACTURES, OPEN [/surgery]; SURGICAL FLAPS.

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