Primary diaphyseal tuberculosis of the tibia, presenting as a pathological fracture – A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2025-04-15 DOI:10.1016/j.tcr.2025.101161

Cheuk Kin Kwan , Stephanie Wing Sum Tso , Wing Hong Liu , Chi Yin Tso , Wing Hoi Cheung , Ronald Man Yeung Wong , Ning Tang

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引用次数: 0

Abstract

Background

Isolated involvement of the shaft of a long bone is a rare presentation of skeletal tuberculosis (TB). To our knowledge, primary skeletal TB of the tibia manifesting as a pathological fracture has not been widely reported. We report a case of primary TB of the right tibia in an immunocompetent 85-year-old woman.

Case presentation

An immunocompetent 85-year-old woman with tuberculosis osteomyelitis of her right tibia and fibula, presenting as pathological fracture. Fibular ostectomy was performed followed by application of a bioabsorbable bone substitute and an Ilizarov external fixator. The patient was pain-free and ambulating with a walking frame one year post-operatively.

Conclusions

Tuberculosis osteomyelitis is challenging to diagnose due to the absence of distinctive clinical and radiographic features. This case highlights the potential of a bioabsorbable bone substitute in achieving osteoconduction and providing sustained local antimicrobial release in tuberculous osteomyelitis.

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原发性胫骨骨干结核，表现为病理性骨折1例

背景：孤立性累及长骨轴是骨结核（TB）的罕见表现。据我们所知，原发性骨结核胫骨表现为病理性骨折尚未广泛报道。我们报告一例原发性结核的右胫骨在免疫能力85岁的妇女。病例介绍：85岁女性，免疫功能正常，右胫骨和腓骨结核性骨髓炎，病理性骨折。腓骨切除术后应用生物可吸收骨替代物和Ilizarov外固定架。术后1年患者无疼痛，可借助行走架行走。结论结核性骨髓炎缺乏明显的临床和影像学特征，诊断困难。本病例强调了生物可吸收骨替代物在结核性骨髓炎中实现骨传导和提供持续的局部抗菌释放方面的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.