Please use this identifier to cite or link to this item:
|Title:||Infection of vascularized fibular grafts||Authors:||Low, C.-K.
|Issue Date:||Feb-1996||Citation:||Low, C.-K.,Pho, R.W.H.,Kour, A.-K.,Satku, K.,Kumar, V.P. (1996-02). Infection of vascularized fibular grafts. Clinical Orthopaedics and Related Research (323) : 163-172. ScholarBank@NUS Repository.||Abstract:||Between June 1978 and July 1991, 64 limb reconstructions were done using vascularized fibular grafts. Of these, 10 became infected. Five grafts were proven viable, whereas the other 5 were proven nonviable based on the survival of the skin in the composite osteocutaneous graft and from bone scans, angiograms, and biopsies. A distinct difference in the radiologic manifestation and clinical course of the infection was noted between the viable grafts and nonviable grafts. The viable grafts showed radiologic changes of osteomyelitis that were localized, and the graft incorporated, healed with antibiotics, and exhibited graft hypertrophy. In the nonviable grafts, the radiologic changes were extensive, evidence that resorption of the grafts had resulted. This suggests that, because of the poor prognosis associated with infection of the non-viable vascularized fibular grafts, the infected grafts should be removed early to minimize the morbidity and to shorten the protracted course associated with infection. With the infected viable grafts, efforts at salvaging the graft with multiple debridements and systemic antibiotics were rewarding.||Source Title:||Clinical Orthopaedics and Related Research||URI:||http://scholarbank.nus.edu.sg/handle/10635/108129||ISSN:||0009921X|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on Jul 19, 2019
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.