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[Bone transport with external fixator RALCA in chronic osteomyelitis. Case report]
O M Pérez-Rivera1, T Ortiz-Rivera, R M Pérez-Rivera
1Hospital Clínico Quirúrgico Docente "Gelacio Calaña La Hera" Niquero, Granma, Cuba. perezrivera@golfo.grm.sld.cu
Acta Ortopedica Mexicana
|January 18, 2013
Summary
This study shows bone transport using the RALCA external fixator is effective for treating chronic osteomyelitis involving bone resection, achieving good clinical and radiologic outcomes.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Chronic osteomyelitis of the distal tibia presents a significant treatment challenge, often requiring extensive bone resection.
- External fixation techniques offer a viable solution for managing complex bone defects and infections.
Observation:
- A case study involving a young male patient with chronic osteomyelitis of the distal tibia, secondary to a Gustilo IIIB fracture.
- Surgical intervention included resection of the infected bone segment.
Findings:
- The application of the RALCA (Redução Aberta, Luxação Controlada, Alongamento) external fixator facilitated effective bone transport.
- Achieved 9 cm of bone regeneration, leading to favorable clinical and radiological results.
Implications:
- Bone transport with external fixation is a highly effective method for treating osteomyelitis requiring bone resection.
- The RALCA external fixator demonstrates technical utility and successful application in complex orthopedic infections.
