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Methicillin-resistant Staphylococcus aureus infected pseudo-arthrosis of the distal tibia treated with debridement, mesh cage, autologous grafting and locking plate fixation.

Motsitsi SN - Strategies Trauma Limb Reconstr (2008)

Bottom Line: It has a high morbidity and mortality.Treatment is very demanding and has a significant complication rate.The outcome was satisfactory despite residual limb deformity and discrepancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Kalafong Hospital, University of Pretoria, Private Bag x 396, Pretoria, South Africa, silas.motsitsi@up.ac.za.

ABSTRACT
Infected non-union of long bones is a challenge to manage. It has a high morbidity and mortality. Treatment is very demanding and has a significant complication rate. Methicillin-resistant infected non-union has a higher morbidity and mortality compared to Methicillin-sensitive Staphylococcus aureus infection. Approximately half of all Staphylococci isolated in infected orthopaedic operations are caused by Methicillin-resistant S. aureus. We present a 42-year-old patient who had Methicillin-resistant S. aureus infected pseudo-arthrosis of the tibia that was treated with debridement, mesh cage, autologous bone-grafting, and plating of the tibia. The outcome was satisfactory despite residual limb deformity and discrepancy.

No MeSH data available.


Related in: MedlinePlus

The X-rays show bony union of the tibia. There is bone formation inside the cage. There is no implant complication. There is malunion of the tibia
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Fig3: The X-rays show bony union of the tibia. There is bone formation inside the cage. There is no implant complication. There is malunion of the tibia

Mentions: He was reviewed for the last time 18 months after the operation. He had no complaints. He was full-weight bearing without crutches. He had a slight short-limb gait despite a shoe-raise. The leg showed antero-medial angulation, healed surgical scars, no signs of inflammation and mild stiffness of the ankle. There was a 4.0 cm limb length discrepancy. Radiographs showed solid union of the tibia and no implant complications (Fig. 3). The patient was satisfied with the outcome and he has not decided yet whether he will like the limb length discrepancy to be addressed surgically or not.Fig. 3


Methicillin-resistant Staphylococcus aureus infected pseudo-arthrosis of the distal tibia treated with debridement, mesh cage, autologous grafting and locking plate fixation.

Motsitsi SN - Strategies Trauma Limb Reconstr (2008)

The X-rays show bony union of the tibia. There is bone formation inside the cage. There is no implant complication. There is malunion of the tibia
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2553432&req=5

Fig3: The X-rays show bony union of the tibia. There is bone formation inside the cage. There is no implant complication. There is malunion of the tibia
Mentions: He was reviewed for the last time 18 months after the operation. He had no complaints. He was full-weight bearing without crutches. He had a slight short-limb gait despite a shoe-raise. The leg showed antero-medial angulation, healed surgical scars, no signs of inflammation and mild stiffness of the ankle. There was a 4.0 cm limb length discrepancy. Radiographs showed solid union of the tibia and no implant complications (Fig. 3). The patient was satisfied with the outcome and he has not decided yet whether he will like the limb length discrepancy to be addressed surgically or not.Fig. 3

Bottom Line: It has a high morbidity and mortality.Treatment is very demanding and has a significant complication rate.The outcome was satisfactory despite residual limb deformity and discrepancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Kalafong Hospital, University of Pretoria, Private Bag x 396, Pretoria, South Africa, silas.motsitsi@up.ac.za.

ABSTRACT
Infected non-union of long bones is a challenge to manage. It has a high morbidity and mortality. Treatment is very demanding and has a significant complication rate. Methicillin-resistant infected non-union has a higher morbidity and mortality compared to Methicillin-sensitive Staphylococcus aureus infection. Approximately half of all Staphylococci isolated in infected orthopaedic operations are caused by Methicillin-resistant S. aureus. We present a 42-year-old patient who had Methicillin-resistant S. aureus infected pseudo-arthrosis of the tibia that was treated with debridement, mesh cage, autologous bone-grafting, and plating of the tibia. The outcome was satisfactory despite residual limb deformity and discrepancy.

No MeSH data available.


Related in: MedlinePlus