2 research outputs found
Lamboul corticoperiosteocutanat în tratamentul pseudartrozelor septice de tibie. Caz clinic
Background. In addition to the traditional methods for treatment of the septic pseudarthrosis, in the
literature is described vascularized bone plasty for the treatment of this pathology. The priorities of this
method are the re-vascularization of the septic focus with stimulation of osteogenesis. Objective of the
study. Implementation of the vascularized plasty method with corticoperiosteal-skin flap in the
treatment guide of septic pseudarthrosis of tibia bone. Clinical case presentation. Material and
Methods. Clinical case: male, 45 y.o.. Diagnosed with septic pseudarthrosis of the tibia, distal third,
with tibial bone defect and soft tissue defect of the ankle region. One year after open fracture of the calf,
tipe III A Gustilo-Anderson. The case was resolved by using the corticoperiosteal-skin tibial posterior
perforator flap for arthrodesis of the ankle and bone and soft tissue recovering. Results. The
postoperative period evolved without complications of any kind, in accordance with the indications: bed
regimen for the first 14 days, initiation of walking with moderate support on the limb at 3 months,
control visit every 2 months. At 6 months after the surgery, we obtained the consolidation, at 1 year the
metal plate was removed. At 1 year 5 months post op. the patient returned to work, the function of ankle
was partially taken over by forefoot joint. Conclusion. Vascularized corticoperioteal-skin flap can be
good method in the treatment of septic pseudarthrosis of tibia, ensuring the satisfactory vascularization
necessary to consolidation. Introducere:.Pe lângă metodele tradiționale de tratament a pseudartrozelor septice, în literatura de
specialitate este descrisă tratarea acestei patologii prin plastia osoasă vascularizată. Prioritățile acestor
plastii sunt: revascularizarea focarului septic cu stimularea osteogenezei și inițierea consolidării. Scopul
lucrării. Implementarea metodei de plastie vascularizată cu lambou corticoperiosteocutanat în ghidul
de tratament al pseudartrozelor septice de os tibial. Prezentarea de caz clinic. Material și Metode. Caz
clinic: bărbat, 45 de ani. Diagnosticul: pseudartroza septică tibiei, 1/3 distală, cu defect osos al tibiei și
defect de țesuturi moi ale gleznei pe dreapta. Un an de la fractura deschisă de gamba timp III A GustiloAnderson. Cazul a fost rezolvat prin utilizarea lamboului perforant, corticoperiostecutanat pentru
artrodeza tibio-talică și plastia defectului osos și de țesuturi moi. Rezultate. Perioada postoperatorie a
evoluat fără complicații de orice gen, cu respectarea indicațiilor: regim la pat primele 14 zile, inițierea
mersului cu sprijin moderat pe membru la 3 luni, control repetat la fiecare 2 luni. La 6 luni de la
intervenția chirurgicala, am obținut consolidarea, la 1 an a fost înlăturată placa metalică. La 1 ani 5 luni,
pacientul a revenit în câmpul muncii, funcția art. gleznei fiind parțial preluată de către art.
antepiciorului. Concluzii. Lamboul vascularizat corticoperiosteocutanat, reprezintă o metodă bună în
tratamentul pacienților cu pseudartroze septic de os tibial prin asigurarea vascularizării satisfăcătoare
necesare pentru obținerea consolidării
Corticoperiosteal-skin flap in the treatment of septic pseudarthrosis of the calf. Clinical case
State University of Medicine and Pharmacy “Nicolae Testemitanu”, Department of Orthopaedics and Traumatology, Chisinau, Emergency Medicine Institute, Chisinau, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltareIntroduction
Vascularized bone plasty, is described in literature like a good method in
treatment of nonunion. The priviledges of this method, is stimulation of
osteogenesis through blood supply and initiation of consolidation where
is was imposible earlier.
Purpose
Implimentation of the vascularized plasty method with corticoperiostealskin flap in treatment guide of septic pseudarthrosis of tibia bone. Clinical
case presentation.
Material and methods
Clinical case: 45 y.o. male. One year after open fracture of the calf, tipe III A GustiloAnderson. Hospitalization diagnosis: pseudarthrosis of the tibia, distal third, with tibial
bone defect and soft tissue defect of the ankle region.
Results
The case was solved using the corticoperiosteal-skin tibial perforator
flap for arthrodesis of the ankle and for bone and soft tissue recovering.
At 6 months after the surgery, we obtained the
consolidation, at 1 year the metal plate was
removed. At 1 year 5 months post op. the patient
returned to work, the function of ankle was partially
taken over by forefoot joint.
Conclusions
Vascularized corticoperiosteal-skin flap, can be
a good method in treatment of septic
pseudarthrosis of the tibia