Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer

Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of...

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Autores principales: Ditsios, Konstantinos, Iosifidou, Eirini, Kostretzis, Lazaros, Konstantinou, Panagiotis, Pinto, Iosafat, Theodoroudis, Ioannis, Hatzokos, Ippokratis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541799/
https://www.ncbi.nlm.nih.gov/pubmed/28808593
http://dx.doi.org/10.1155/2017/9672126
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author Ditsios, Konstantinos
Iosifidou, Eirini
Kostretzis, Lazaros
Konstantinou, Panagiotis
Pinto, Iosafat
Theodoroudis, Ioannis
Hatzokos, Ippokratis
author_facet Ditsios, Konstantinos
Iosifidou, Eirini
Kostretzis, Lazaros
Konstantinou, Panagiotis
Pinto, Iosafat
Theodoroudis, Ioannis
Hatzokos, Ippokratis
author_sort Ditsios, Konstantinos
collection PubMed
description Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers.
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spelling pubmed-55417992017-08-14 Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer Ditsios, Konstantinos Iosifidou, Eirini Kostretzis, Lazaros Konstantinou, Panagiotis Pinto, Iosafat Theodoroudis, Ioannis Hatzokos, Ippokratis Case Rep Orthop Case Report Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers. Hindawi 2017 2017-07-20 /pmc/articles/PMC5541799/ /pubmed/28808593 http://dx.doi.org/10.1155/2017/9672126 Text en Copyright © 2017 Konstantinos Ditsios et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ditsios, Konstantinos
Iosifidou, Eirini
Kostretzis, Lazaros
Konstantinou, Panagiotis
Pinto, Iosafat
Theodoroudis, Ioannis
Hatzokos, Ippokratis
Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title_full Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title_fullStr Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title_full_unstemmed Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title_short Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
title_sort combined bone transportation and lengthening techniques for the treatment of septic nonunion of the forearm followed by tendon transfer
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541799/
https://www.ncbi.nlm.nih.gov/pubmed/28808593
http://dx.doi.org/10.1155/2017/9672126
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