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Related Experiment Videos

Extreme bone lengthening using distraction osteogenesis after trauma: a case report.

Alexander Lerner1, Lucian Fodor, Haim Stein

  • 1Department of Orthopedic Surgery, Rambam Medical Center & Bruce Rapaport Faculty of Medicine, Haifa, Israel.

Journal of Orthopaedic Trauma
|July 9, 2005
PubMed
Summary

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This study details a 22 cm tibial lengthening using acute shortening and angulation for severe post-traumatic lower limb injury. The technique successfully restored limb length and function, achieving good aesthetic and functional outcomes.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Limb Reconstruction

Background:

  • Severe post-traumatic lower limb injuries often involve significant bone and soft-tissue defects.
  • Limb lengthening techniques are crucial for reconstructing extensive post-traumatic defects.

Observation:

  • A 22 cm tibial gap and a large soft-tissue defect were present after a Gustilo IIIB open complex injury.
  • An Ilizarov frame was used for acute tibial shortening with temporary posterior angulation to manage the defect.

Findings:

  • Progressive angulation correction and bilevel tibial distraction (1.75 mm/day) achieved 22 cm of lengthening (17 cm proximal, 5 cm distal).
  • Fracture consolidation occurred in 371 days with complete wound healing and no osteomyelitis.
  • The patient achieved symmetrical limb length and returned to work and sports.

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Implications:

  • This case demonstrates the feasibility of substantial tibial lengthening (22 cm) in a salvage setting for complex post-traumatic defects.
  • The described technique offers a viable option for limb length restoration in challenging trauma cases.
  • This represents a significant advancement in managing extensive post-traumatic lower limb deformities.