Stage protocol in the management of infection following plating of the tibia
Introduction: Anterior border of the tibia is covered only by a thin layer of protective tissue. Plating of the tibia often results in wound complication and infection if the injury to this area is not recognized. We review our results of managing infection following plating of the tibia using a p...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine, International Islamic University Malaysia
2012
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/24238/ http://irep.iium.edu.my/24238/ http://irep.iium.edu.my/24238/1/IMJM_Vol11No1-2012-p41-46.pdf |
| Summary: | Introduction: Anterior border of the tibia is covered only by a thin layer of protective tissue. Plating of the
tibia often results in wound complication and infection if the injury to this area is not recognized. We review
our results of managing infection following plating of the tibia using a protocol base on the status of bone
healing and the presence of bone or soft-tissue defect. Methods: Eight cases of infection following plating
of the tibia were managed according to stage procedures protocols and classification, which is based on the
state of bony union and the defect following wound debridement. The soft-tissue defects were managed with
local flaps, and the bone defects were managed with Illizarov bone transport. Results: Three patients had
more than one bacterium isolated. Gram negative organisms were isolated from seven patients. Methicillineresistant
Staphylococcus aureus was isolated in two patients. All patients achieved union with a mean union
time of seven months. The infections were controlled in seven patients. One patient had minimal sinus
discharge but refused further treatment. Conclusions: The stage protocol for the management of infection
following plating of the tibia is practical and produces excellent results. |
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