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Surgical treatment for 76 patients with posttraumatic osteomyelitis of the tibia

Bingyuan Lin, Kai Huang, Huajun Yu

This study aimed to assess the methods and curative effect of surgical treatment for post-traumatic osteomyelitis of the tibia. From March 2005 to June 2012, a total of 76 patients (49 male patients and 27 female patients) with posttraumatic osteomyelitis of the tibia were enrolled. Among the 76 patients, 9 patients were treated with infection elimination and bone graft surgery of vancomycin-loaded calcium sulphate; 60 patients with bone and soft tissues defect were treated with infection elimination, flap graft surgery and vancomycin-loaded calcium sulphate; 7 patients were treated with infection elimination and bone transport. 6 cases of transplanted flaps necrotized partly after the surgeries, but the wounds healed after dressing changing or skin grafting; 4 cases of sinus recurred, and the patients were cured by reoperations. All the patients were followed up with the average period of three years, with the recurrence rate of 5.2% and cure rate of 94.7%. Taken together, after the thorough debridement, applying microsurgery techniques of flaps combined with bone graft of vancomycin-loaded calcium sulphate, could obtain satisfactory surgical results.