Free vascularized fibular grafting in combination with a locking plate for the reconstruction of a large tibial defect secondary to osteomyelitis in a child: a case report and literature review.

Jia, Wei-Tao; Zhang, Chang-Qing; Sheng, Jia-Gen; Jin, Dong-Xu; Cheng, Xiang-Guo; Chen, Sheng-Bao; Zeng, Bing-Fang · J Pediatr Orthop B · 2010

case_report · Level V

Where this comes from

Abstract

Although a large skeletal defect secondary to osteomyelitis in children is not an uncommon problem, there are no descriptions of the management of such a defect with a free vascularized fibular graft in combination with a locking plate. We performed such a technique, after radical debridement and systemic antibiotic treatment, on a 13-year-old boy suffering from a large 10 cm tibial defect secondary to osteomyelitis. Primary union of the graft was achieved at 6 months. No recurrence of osteomyelitis occurred in the 29-month follow-up period, and limb salvage and eradication of the infection were achieved successfully.

Medical subject headings

Anatomy