Treatment of an open distal tibia fracture with segmental bone loss in combination with a closed proximal tibia fracture: a case report.
Summary of "Treatment of an open distal tibia fracture with segmental bone loss in combination with a closed proximal tibia fracture: a case report."
The treatment of open distal tibia fractures remains challenging, particularly when the fracture is infected and involves segmental bone loss. 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 fractures were initially fixed with a temporary external fixator. The open distal tibial fracture was infected, and the skin was covered after the wound became culture negative. 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. After 5 cm internal transport, the docking site of the distal tibia was fixed with a locking plate and autogenous cancellous bone graft. Bone graft was also used to the distal tibiofibular space to achieve distal tibiofibular synostosis. 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. This method can treat two fractures simultaneously.
Affiliation
Department of Orthopedic Surgery, Medical School and Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University, 634-18, Geumam-dong, Dukjin-gu, Jeonju, Jeonbuk, 561-712, Republic of Korea, parkjinos@gmail.c
Journal Details
This article was published in the following journal.
Name: Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22526200
- DOI: http://dx.doi.org/10.1007/s00402-012-1523-6
Medical and Biotech [MESH] Definitions
Bone Plates
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Skull Fracture, Depressed
A skull fracture characterized by inward depression of a fragment or section of cranial bone, often compressing the underlying dura mater and brain. Depressed cranial fractures which feature open skin wounds that communicate with skull fragments are referred to as compound depressed skull fractures.
Osteochondroma
A cartilage-capped benign tumor that often appears as a stalk on the surface of bone. It is probably a developmental malformation rather than a true neoplasm and is usually found in the metaphysis of the distal femur, proximal tibia, or proximal humerus. Osteochondroma is the most common of benign bone tumors.
Fracture Healing
The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue.
Wrist Joint
The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone).
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