Muscle transposition for treatment of XXXX of the tibia.

@entity1 @entity4034 @entity794 @entity281 @entity121
A series of 24 consecutive @entity1 with @entity4034 of the tibia and soft tissue defects were treated according to the principle of radical excision of the infected bone together with transposition of @entity121 and primary skin cover as a one-stage procedure. External fixation was used for stabilization of bone. The mean duration of @entity4034 before radical operation was 72 weeks and the previous stay in hospital averaged 15 weeks. Twenty-one @entity1 had previously undergone 3.7 operations because of the @entity281 . @entity794 was cultured in 50% of the @entity1 , while no bacteria could be identified in six patients. Appropriate antibiotics were given for an average of eight weeks. In four @entity1 a secondary bone transplant and in three @entity1 another skin transplant was necessary. One @entity1 refusing further reconstructive surgery insisted on an above-knee amputation because of persisting @entity281 . After an average observation time of 2 1/2 years no @entity281 or instability of the tibia could be demonstrated, but one @entity1 showed two small skin defects. These results indicate that radical excision of infected bone in combination with muscle transposition and primary skin cover is effective in the treatment of posttraumatic @entity4034 of the tibia.
