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...

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Main Authors:	Mohd Yusof, Nazri, Halim, A. S.
Format:	Article
Language:	English
Published:	Faculty of Medicine, International Islamic University Malaysia 2012
Subjects:	RD701 Orthopedics
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

id	iium-24238
recordtype	eprints
spelling	iium-242382015-01-27T01:11:35Z http://irep.iium.edu.my/24238/ Stage protocol in the management of infection following plating of the tibia Mohd Yusof, Nazri Halim, A. S. RD701 Orthopedics 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. Faculty of Medicine, International Islamic University Malaysia 2012-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/24238/1/IMJM_Vol11No1-2012-p41-46.pdf Mohd Yusof, Nazri and Halim, A. S. (2012) Stage protocol in the management of infection following plating of the tibia. International Medical Journal Malaysia, 11 (1). pp. 41-46. ISSN 1823-4631 http://www.e-imj.com/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mohd Yusof, Nazri Halim, A. S. Stage protocol in the management of infection following plating of the tibia
description	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.
format	Article
author	Mohd Yusof, Nazri Halim, A. S.
author_facet	Mohd Yusof, Nazri Halim, A. S.
author_sort	Mohd Yusof, Nazri
title	Stage protocol in the management of infection following plating of the tibia
title_short	Stage protocol in the management of infection following plating of the tibia
title_full	Stage protocol in the management of infection following plating of the tibia
title_fullStr	Stage protocol in the management of infection following plating of the tibia
title_full_unstemmed	Stage protocol in the management of infection following plating of the tibia
title_sort	stage protocol in the management of infection following plating of the tibia
publisher	Faculty of Medicine, International Islamic University Malaysia
publishDate	2012
url	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
first_indexed	2023-09-18T20:36:25Z
last_indexed	2023-09-18T20:36:25Z
_version_	1777409075518111744

Stage protocol in the management of infection following plating of the tibia

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