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Fibular strut graft placement for an open distal femur fracture with a critical bone defect: A case report

CASE: We herein present a case involving a 23-year-old man with an open fracture of the distal portion of the left femoral diaphysis, substantial bone loss, and soft tissue injuries. He was initially treated with antibiotics, limb stabilization, and surgical debridement. On the sixth day, he underwe...

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Detalles Bibliográficos
Autores principales: Reátiga, Juan, Arzuza, Laura, Guzmán, Julio, Molina, Juan, Ríos, Ximena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535308/
https://www.ncbi.nlm.nih.gov/pubmed/36210920
http://dx.doi.org/10.1016/j.tcr.2022.100712
Descripción
Sumario:CASE: We herein present a case involving a 23-year-old man with an open fracture of the distal portion of the left femoral diaphysis, substantial bone loss, and soft tissue injuries. He was initially treated with antibiotics, limb stabilization, and surgical debridement. On the sixth day, he underwent internal fixation and fibular strut graft placement for bone defect restoration. After 4 years, osteosynthesis, perfect graft integration and consolidation, excellent knee functionality, and painless gait were evident. CONCLUSION: Preservation of bone and soft tissue vitality, complete debridement, antibiotic therapy, and early limb stabilization are all crucial factors for restoring knee functionality.