2022
DOI: 10.1177/01455613221075775
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Delayed pathologic tibial fracture with chronic osteomyelitis after fibula free flap

Abstract: The reported donor site morbidity of the fibula free flap (FFF) is low; however, several uncommon complications have been reported with tibia fracture rarely being reported. We present a case of a pathological tibial fracture in the setting of chronic osteomyelitis after FFF. A 54-year-old female presented with a benign fibro-osseous lesion of the right mandible and was treated with mandibulectomy and reconstructed with a left FFF. Approximately 1 year following surgery, the patient presented to the emergency … Show more

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“…The incidence of chronic osteomyelitis (CO) is 15% and 350% after closed and open fractures, respectively. Initial medical management for CO includes debridement and intravenous antibiotics; although, in extreme situations that may lead to local or systemic spread of infection or skeletal fragility, care may entail surgical drainage, wound cleaning, stabilization, and soft tissue repair [ 11 ]. Here, we are reporting a case of a patient with a proximal tibial fracture with acute compartment syndrome and neurovascular deficit managed with fasciotomy and external fixation by a non-bridging fixator, which was then complicated with CO; thus, further, the fracture was fixated externally with an Ilizarov ring fixator.…”
Section: Introductionmentioning
confidence: 99%
“…The incidence of chronic osteomyelitis (CO) is 15% and 350% after closed and open fractures, respectively. Initial medical management for CO includes debridement and intravenous antibiotics; although, in extreme situations that may lead to local or systemic spread of infection or skeletal fragility, care may entail surgical drainage, wound cleaning, stabilization, and soft tissue repair [ 11 ]. Here, we are reporting a case of a patient with a proximal tibial fracture with acute compartment syndrome and neurovascular deficit managed with fasciotomy and external fixation by a non-bridging fixator, which was then complicated with CO; thus, further, the fracture was fixated externally with an Ilizarov ring fixator.…”
Section: Introductionmentioning
confidence: 99%