Infection, Osteomyelitis & Non-Healing Wound

Male patient of 60 years of age has chronic tibia osteomyelite with continuing flow which had been continuing for 42 years. Widened curettage, cement spacer with antibiotics and local musculocutanous gastrocnemius phleb was turned for the patient. Following the infection curing, cement was taken out of the patient and otology bone graft was performed.

Male patient of 68 years of age had tibia osteomyelite with continuing flow for for 13 years. Wide resection of osteomyelitic bone and fistula in tibia, acute tightening of defect area with circular external fixator, and lengthening osteotomy from a second area in proximal were performed on the patient.

Modular prosthesis reconstruction was performed on a male patient of 25 years of age due to closed knee joint resection for synovial sarcoma. Debridement and free phleb repair was tried after early infection. Since the patient, who had phleb failure twice rejected amputation suggestion, first the prosthesis was removed, soft tissue defect was closed with CAV method, and knee arthrodesis with external fixator was provided. Then 15 cm lengthening was provided for the patient with an hybrid external fixator.

With the chronic osteomyelite in pelvis and permanent contracture diagnosis, wide osteomyocutaneous resection, soft tissue reconstruction with rectus abdominis local phleb and contracture opening with external fixator surgeries were performed on male patient of 17 years of age.

A patient with sacrum adherence of cyst hydatic, the nightmare of all orthopaedists. Cavity walls were matured with 4 weeks of albendazol use before the surgery. Then we debrided the cavity and abscess in the muscle with posterior approach. We washed it with 3 litres of 3% NaCl. After the process, we filled the cavity with radio-opaque material and took scopy image. Especially on the pron-lateral graphy, the width of debridement towards the pelvis can be seen.