SQUAMOUS-CELL CARCINOMA COMPLICATING TIBIAL OSTEOMYELITIS TREATED WITH LOCAL WIDE EXCISION AND STAGED MICROVASCULAR RECONSTRUCTION

Squamous cell carcinoma is a complication of chronic tibial osteomyeli tis treated with limb-preserving surgery. A 61-year-old man with 42-ye ar history of chronic osteomyelitis of the left tibia was found to hav e malignant change. A curettage procedure was performed by a general s urgeon. He then was referred to the osteomyelitis service; local wide excision was followed by staged microvascular latissimus dorsi muscle flap and fibular osteoseptocutaneous flap transfer. The patient remain s well 36 months later with no clinical or radiologic evidence of loca l recurrence or distant metastasis. This kind of limb-sparing treatmen t is an excellent alternative treatment for malignancy.