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Debridement of Open Tibial Fractures and Infected Tibial Fractures

(see also tibial fracture menu / general principles of debridement)

Debridement of Acute Fractures

Debridement of Muscle »

Wound Closure and Wound Care

Debridement of Chronic Osteomyelitis:

  • see: debridement of sequestraosteomyelitis
  • debridement is methodical until viable bleed tissue is seen at the resection margins;
  • it is essential to ensure that all foci of infection are removed;
  • paprika sign: punctuate osseous bleeding;
  • deep cultures:
    • following debridement multiple culutures are taken;
    • w/ immunocomprimised patient consider checking for mycobacteria and fungi;
  • management of tibial bone defects
  • posteromedial or posterolateral bone grafting can be done w/o disrupting non unions if alignment is satisfactory

References