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Post-Traumatic Large Segmental Bone Loss - Does Bone Transport Obviate the Need for Successful Soft-Tissue Cover - A
Hari Krishna Pentela1, J K Giriraj Harshavardhan1, Sundar Suriyakumar1
1Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Introduction:
Management of open tibial fractures with large bone segment and soft-tissue loss can be challenging. To restore the functionality of the limb, the continuity of the soft-tissue envelope and bone needs to be achieved.
Case Report:
A 29-year-old gentleman sustained right leg crush injury and open Gustilo Anderson Grade IIIB right tibia shaft fracture with 17.2 cm tibial shaft bone segment loss and large soft-tissue defect. An initial free flap failed. In spite of this, the functionality of the limb was restored by bone transport using Ilizarov method.
Conclusion:
The case report details the surgical technique and obstacles encountered and illustrate that bone transport using Ilizarov technique not only regenerates bone but can facilitate healing of soft tissues.
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