The Journal of Bone and Joint Surgery, Vol 59, Issue 6 784-791, Copyright © 1977 by Journal of Bone and Joint Surgery, Inc
Muscle transposition for treatment and prevention of chronic post-traumatic osteomyelitis of the tibia
R Ger
There is considerable difference of opinion about how patients with open
tibial fractures and considerable loss of skin should be treated. The
incidence of long-term complications from such lesions--that is, chronic
ulceration and chronic osteomyelitis--apparently is not recorded, but many
cases undoubtedly exist and are under treatment by methods that are short
of curative. Successful results in forty-three patients were obtained by
muscle transposition and delayed skin-grafting. Early coverage of open
fractures of the tibia with soft tissue will prevent the later development
of osteomyelitis, ulceration, and, perhaps to some extent, non-union.