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Treatment of an open distal tibia fracture with segmental bone loss in combination with a closed proximal tibia fracture: a case report

Authors
 Jin Park  ;  Kyu Hyun Yang 
Citation
 ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, Vol.132(8) : 1121-1124, 2012 
Journal Title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN
 0936-8051 
Issue Date
2012
MeSH
Adult ; Fracture Fixation, Internal/methods* ; Fractures, Closed/complications ; Fractures, Closed/surgery* ; Fractures, Open/complications ; Fractures, Open/surgery* ; Humans ; Male ; Multiple Trauma/surgery* ; Tibial Fractures/complications ; Tibial Fractures/surgery*
Keywords
Tibia ; Open fracture ; Bone defect ; Infection ; Corticotomy
Abstract
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.
Full Text
http://link.springer.com/article/10.1007%2Fs00402-012-1523-6
DOI
22526200
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89618
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