Chronic haematogenous osteomyelitis of fibula diaphysis with pathological fracture and review of literature
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Management of fibular osteomyelitis presents various challenges with respect to stability of ankle mortise, poor quality of periosteum and fibular pseudoarthrosis. Case History: We present a case of a 6 year male child with chronic osteomyelitis of fibula and pathological fracture, who was operated with resection of fibula with proximal and distal tibio-fibular syndesmotic fixation. Patient was followed up for One year and was noted to have fibular pseudoarthrosis and 5 valgus deformity of ankle. Discussion: Progressive valgus deformity at the ankle is a known complication that can occur many years after index fibular resection. We noticed a ankle valgus deformity at 3 month post-op which was non-progressive till 1 year follow-up. The valgus was traced retrospectively to be due to syndesmotic fixation of the fibular remnant after fibular resection, thereby adding a valgus force to ankle mortice. This could have been avoided by inserting the syndesmotic screw before fibular resection. This cause should also be kept in mind while evaluating such patients. These patients should also be followed up to detect fibular pseudoarthrosis and progressive valgus ankle deformity.
Authors and Affiliations
Dr. Nirmal D Patil, Dr. Hiren Patel, Dr. Jayesh V Baviskar, Dr. Naushad Hussain
Keywords
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- EP ID EP500408
- DOI 10.22271/ortho.2017.v3.i3l.126
- Views 136
- Downloads 0
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