Gaurav Jain
Department of Orthopaedic Surgery, LNCT Medical College, Indore, IndiaPublications
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Research Article
Muscle Pedicle Grafting for Failed Treatment of Chronic Tibial Osteomyelitis: A Retrospective Case Series Analysis
Author(s): Gaurav Jain*, Manish Bajaj and Anshul Meena
Background: Chronic tibial osteomyelitis unresponsive to initial surgical and antimicrobial interventions remains a challenging clinical problem. This study evaluates the role of local muscle pedicle flaps as a salvage reconstructive strategy in patients with failed primary treatments including debridement, Ilizarov external fixation, antibiotic-loaded spacers (Stimulan beads), and masquerade procedures. Methods: Retrospective review of 14 consecutive patients with chronic, recalcitrant tibial osteomyelitis treated with muscle pedicle flap reconstruction between January 2018 and December 2024 at LNCT Medical College, Indore. All patients had undergone at least one failed primary surgical intervention prior to flap coverage. Demographic, clinical, microbiological, radiological, and outcome data were analyzed. Results:.. Read More»





