Complex Compound Fracture of Tibia Managed with Distraction Osteogenesis
Hemant Prakash Parekh1, Samir Chandrakant Dwidmuthe2, Sampat Dumbre Patil3
1Department. of Orthopaedics, Smt. Kashibai Navale Meical college and General Hospital, S.No. 49/1, Narhe, Pune - 411 041. India.
Journal of Orthopaedic Case Reports
|June 15, 2016
Summary
The Ilizarov method effectively treated a complex tibia fracture with significant bone loss and nonunion, even after hardware failure. This biologic approach resulted in a satisfactory functional outcome for the patient.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Regenerative Medicine
Background:
- Tibia bone loss presents a significant challenge in orthopedic treatment.
- Established surgical options include bone transport, vascularized fibula grafts, and induced membranes.
Observation:
- A complex compound tibia fracture with bone loss occurred despite a prior intramedullary nail fixation.
- The existing intramedullary nail had partially failed, protruding from the wound.
Findings:
- The Ilizarov fixator was successfully employed to manage the bone gap and nonunion.
- This approach led to a satisfactory functional outcome for the patient.
Implications:
- The Ilizarov method offers a comprehensive, biologic solution for complex tibial bone defects and nonunion.
- This case highlights the versatility of the Ilizarov technique in challenging orthopedic trauma scenarios.
