Limb salvage for chronic tibial osteomyelitis: An outcomes study

Background: The decision to undergo a limb salvage procedure is difficult a nd multifaceted. This study reviews the outcomes of patients with chronic t ibial osteomyelitis who underwent limb salvage and hopes to enhance our und erstanding of the impact this complex procedure has on the patient's abilit y to have a functional and fulfilling life. Methods: Forty-sis patients, with at least 18 months followup, who had unde rgone limb salvage for chronic, refractory tibial osteomyelitis were evalua ted. A modification of the Limb Extremity Outcomes Instrument was utilized emphasizing inquiries pertaining to quality of life. Results: Thirty-nine (85%) of the 46 patients were able to ambulate indepen dently without pain. All patients younger than 45 Sears of age had successf ul outcomes. Thirty-one percent of the patients with a positive smoking his tory were failures, and 71% of all failures were smokers. Conclusion: Limb salvage seems to be a satisfactory option for patients wit h chronic tibial osteomyelitis. A history of smoking and advanced age may h ave adverse affects and are relative contraindications.