ABSTRACT
Gap non-union of tibia following traumatic bone loss or infection dramatically emphasizes the limitation of conventional reconstructive techniques. With presence of significant skin loss or poorly vascularised recepient bed, complications and failure rate increase and solution often lies in amputation. Vascularised ipsilateral fibular grafting offers a viable alternative to this. This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay. All the cases were secondary to osteomyelitis following compound fracture of tibia-fibula or hematogenous osteomyelitis with a large sequestrum. 15 cases had good results with good hypertrophy of bone after union. One case had poor result with fracture going into delayed union with no hypertrophy. We discuss the technique, complications and results of this procedure.
Subject(s)
Adolescent , Adult , Child , Female , Fibula/transplantation , Follow-Up Studies , Fracture Healing , Fractures, Ununited/complications , Humans , Male , Osteomyelitis/complications , Tibial Fractures/complications , Treatment OutcomeABSTRACT
The term ossifying lipoma is used to describe a rare case of lipoma when its mature adipose tissue shows foci of chondrification and ossification. We are presenting here, a case report of a large sized ossifying lipoma in the anteromedial compartment of the left thigh of a 55 year old farmer.