Healing of tibial draining sinus with chronic osteomyelitis

The pictures in the figure show the management of a 30-year-old patient with chronic drainage following a prior traumatic injury (A). Chronic osteomyelitis was seen in a bony sequestrum on magnetic resonance imaging (B) and plain films (C). Following bone debridement and removal of the sequestrum, the bone was packed with an antibiotic spacer and a free muscle flap used to fill the space, over which a skin graft was used to provide coverage of the muscle. The early postoperative appearance of the free flap is shown (D).