![]() Schwartsman V, Schwartsman R (1992) Corticotomy. Rhodes J, Hyder JA, Peruski LF, Fisher C, Jorakate P, Kaewpan A, Dejsirilert S, Thamthitiwat S, Olsen SJ, Dowell SF, Chantra S, Tanwisaid K, Maloney SA, Baggett HC (2010) Antibiotic use in Thailand: quantifying impact on blood culture yield and estimates of pneumococcal bacteremia incidence. J Bone Joint Surg Am 84-A(4):682īerbari EF, Marculescu C, Sia I, Lahr BD, Hanssen AD, Steckelberg JM, Gullerud R, Osmon DR (2007) Culture-negative prosthetic joint infection. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. Gustilo RB, Anderson JT (2002) JSBS classics. J Bone Joint Surg Am 77(6):835–846ĭagher F, Roukoz S (1991) Compound tibial fractures with bone loss treated by the Ilizarov technique. Clin Orthop Relat Res 280:136–142ĭendrinos GK, Kontos S, Lyritsis E (1995) Use of the Ilizarov technique for treatment of non-union of the tibia associated with infection. Green SA, Jackson JM, Wall DM, Marinow H, Ishkanian J (1992) Management of segmental defects by the Ilizarov intercalary bone transport method. J Bone Joint Surg Br 77(6):906–913Ĭhacha PB (1984) Vascularised pedicular bone grafts. Robinson CM, McLauchlan G, Christie J, McQueen MM, Court-Brown CM (1995) Tibial fractures with bone loss treated by primary reamed intramedullary nailing. ![]() Yazar S, Lin CH, Wei FC (2004) One-stage reconstruction of composite bone and soft-tissue defects in traumatic lower extremities. Keating JF, Simpson AH, Robinson CM (2005) The management of fractures with bone loss. You’ll need surgery to repair your bone, and recovery can take a year or longer. Segmental fractures are caused by severe traumas like car accidents. They happen when one of your bones is broken in at least two places, leaving a segment of your bone totally separated by the breaks. This method can treat two fractures simultaneously. Segmental fractures are a type of broken bone. We describe one treatment option for an infected open fracture of the distal tibia with segmental bone loss that is accompanied by a closed fracture of the proximal tibia. Bone graft was also used to the distal tibiofibular space to achieve distal tibiofibular synostosis. After 5 cm internal transport, the docking site of the distal tibia was fixed with a locking plate and autogenous cancellous bone graft. The tibia was then internally transported with a ring external fixator the closed fracture of the proximal tibia served as the corticotomy for internal transport without conventional corticotomy. The open distal tibial fracture was infected, and the skin was covered after the wound became culture negative. The fractures were initially fixed with a temporary external fixator. We report the case of a 38-year-old man who sustained an open distal tibiofibular fracture with segmental bone loss and a closed proximal tibial fracture. The treatment of open distal tibia fractures remains challenging, particularly when the fracture is infected and involves segmental bone loss.
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