Optimal Treatment of the Septic Pseudarthrosis of the Tibial Pestle: About A Case
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 9
Abstract
The deleterious association of non-bone consolidation and septic complication is a therapeutic challenge for orthopedic surgeons. Tibial fractures are a source of high rates of nonunion and septic and cutaneous complications. Here we present the case of a 56-year-old patient with a history of vascular, cardiac and obstructive post-smoking bronchopneumopathy who presented septic pseudarthrosis of the left tibial pilon with cutaneous complications and whose treatment consisted of , initially in an induced membrane technique, associated with a cutaneous cover by a lateral fasciocutaneous flap of the thigh and an osteosynthesis by a Hexapodal external fixator type True Lock. During the second stage, the bone graft was removed by endomedullary boring of the contralateral femur using the device named Reamer-Irrigator-Aspirator, and the stems of the external fixator were replaced by other rods allowing adjustment multiplicane and thus a gradual three-dimensional reduction as the consolidation progresses.
Authors and Affiliations
Mohamed Ben- Aissi, Redouane Hani, Mohammed Kadiri, Moncef Boufettal, Paolo Palmari, Mohamed Kharmaz, Moulay Omar Lamrani, Ahmed El Bardouni, Mustapha Mahfoud, Mohamed Saleh Berrada
Keywords
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