Isolated chronic osteomyelitis of fibula in a child: A case report and review of literature

Abstract

Introduction: Osteomyelitis is one of the oldest diseases known. Hematogenous osteomyelitis is common in metaphysis of long bones like tibia and femur. Isolated osteomyelitis of fibula in diaphyseal region is un common and has been rarely reported. Case Presentation: 8 year old male child presented to us with discharging sinus and granulation tissue over lower lateral aspect of left leg. He had a history of trauma 8 months back and had an open wound at the site of injury. The patient kept on doing daily dressings but was not relieved. The patient developed acute pain at the site of injury accompanied with fever and chills and was referred to us. We did sequestrectomy along with debridement and excision of sinus tract followed by a course of intravenous and oral antibiotics. At 12 months follow up, patient is completely symptom free and ambulating with full weight bearing on the affected leg. Conclusion: Our case reports describes a rare case of isolated osteomyelitis of fibula in a child which occurred secondary to trauma and highlights the importance of a multi-discliplinary approach to deal with osteomyelitis.