Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report

INTRODUCTION: Management of open tibial fractures with large bone segment and soft-tissue loss can be challenging. To restore the functionality of the limb, the continuity of the soft-tissue envelope and bone needs to be achieved. CASE REPORT: A 29-year-old gentleman sustained right leg crush injury...

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Detalles Bibliográficos
Autores principales: Pentela, Hari Krishna, Harshavardhan, J K Giriraj, Suriyakumar, Sundar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10226645/
https://www.ncbi.nlm.nih.gov/pubmed/37255649
http://dx.doi.org/10.13107/jocr.2023.v13.i05.3626
Descripción
Sumario:INTRODUCTION: Management of open tibial fractures with large bone segment and soft-tissue loss can be challenging. To restore the functionality of the limb, the continuity of the soft-tissue envelope and bone needs to be achieved. CASE REPORT: A 29-year-old gentleman sustained right leg crush injury and open Gustilo Anderson Grade IIIB right tibia shaft fracture with 17.2 cm tibial shaft bone segment loss and large soft-tissue defect. An initial free flap failed. In spite of this, the functionality of the limb was restored by bone transport using Ilizarov method. CONCLUSION: The case report details the surgical technique and obstacles encountered and illustrate that bone transport using Ilizarov technique not only regenerates bone but can facilitate healing of soft tissues.

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