Acta Ortopédica Mexicana

Mora-Ríos FG, Antonio-Romero CE, Mejía-Rohenes LC, Cortés-Gómez J, López-Marmolejo A, Franco-López EA
Infected pseudoarthrosis of the tibia, a pediatric case. Case report and literature review
Acta Ortop Mex 2012; 26 (4)

Language: Español
References: 18
Page: 255-259
PDF: 88.06 Kb.

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ABSTRACT

Chronic posttraumatic osteomyelitis and infected pseudoarthrosis of the tibia are complex problems associated with considerable morbidity which may compromise the viability of the involved limb. The most frequent age of presentation is 2 to 6 years, with predominance in males at a 2:1 ratio. We present the case of a male 4 year-old patient with diagnosis of infected pseudoarthrosis. During the physical exam a fistula was detected in the anterior aspect of the right leg, with discharge of purulent material, and inability for weight bearing and gait. X-rays, culture of the exudate and biopsy were performed. Treatment consisted of antimicrobial therapy, surgical debridement’s, and application of an autologous bone graft. The infection was controlled, the tibia healed, and function was restored.


Key words: osteomielitis, pseudoartrosis, graft, infection.


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