Date: Tue, 27 Jul 2004 19:48:19 -0600

From: M. Becerra

Subject: Distal Tibial Infected Nonunion

Dear All,

This is a 22 year old man who sustained a fracture to his left tibia and fibula about 8 years ago. He got a deep infection but this is the situation now. Soft tissues are OK.

How would you treat this case?

thanks

MB

Reply at: Orthopaedic Trauma Association forum

Date: Tue, 27 Jul 2004 10:50 PM

From: Bill Burman

Consider polyostotic fibrous dysplasia.

The bone appearance is expanded, deformed, endosteal scalloped and ground glass. Consider cases of fibrous dyplasia presented by Dr. Rajat and pseudarthrosis associated with neurofibromatosis presented by Dr. Chinoy in this forum previously.

Also see OTA BFC Lecture by Lon Weiner re fibula pro tibia transfer - "un peigne" procedure (French for a "comb").

Bill Burman, MD
HWB Foundation