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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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
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author Pentela, Hari Krishna
Harshavardhan, J K Giriraj
Suriyakumar, Sundar
author_facet Pentela, Hari Krishna
Harshavardhan, J K Giriraj
Suriyakumar, Sundar
author_sort Pentela, Hari Krishna
collection PubMed
description 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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spelling pubmed-102266452023-05-30 Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report Pentela, Hari Krishna Harshavardhan, J K Giriraj Suriyakumar, Sundar J Orthop Case Rep 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 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. Indian Orthopaedic Research Group 2023-05 2023-05 /pmc/articles/PMC10226645/ /pubmed/37255649 http://dx.doi.org/10.13107/jocr.2023.v13.i05.3626 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms
spellingShingle Case Report
Pentela, Hari Krishna
Harshavardhan, J K Giriraj
Suriyakumar, Sundar
Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title_full Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title_fullStr Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title_full_unstemmed Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title_short Post-Traumatic Large Segmental Bone Loss – Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover – A Case Report
title_sort post-traumatic large segmental bone loss – does bone transport obviate the need for successful soft-tissue cover – a case report
topic Case Report
url 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
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AT suriyakumarsundar posttraumaticlargesegmentalbonelossdoesbonetransportobviatetheneedforsuccessfulsofttissuecoveracasereport

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