Ipsilateral Medial Fibular Transposition in A Case of Chronic Osteomyelitis of Tibia: A Case Report

Abstract

Chronic osteomyelitis in adults is a rare disease. It is usually seen in patients with transient or chronic immune deficiency. Chronic osteomyelitis develops as a result of inadequate or improper treatment of acute osteomyelitis. Sometimes large sequestrum develops with massive destruction of bone. Such a big sequestrum removal puts bone in real danger of pathological fracture. In such cases ipsilateral fibular transposition can be done by Huntington’s procedure. Here we are presenting a case of chronic osteomyelitis with massive sequestrum formation, that was removed and saucerization done and after controlling infection ipsilateral fibular transposition by Huntington’s procedure was done. Patient was kept in above knee POP cast and following that a Patellar Tendon Bearing (PTB) cast was put. When fibula was united above knee walking caliper was given, which was continued for two years for proper consolidation and incorporation of graft. Screws removed after two years. After two years, consolidation and integration of fibula was complete without any complication. Range of motion was full. Finally in our patient ipsilateral fibular transfer to fill tibial gap gave good result but required long follow-up

Keywords

• consolidation
• integration
• huntington’s procedure
• ptb
• saucerization
• sequestrum