Three Year Old Female with Segmental Bone Defect due to Grade IIIB Open Tibial Fracture Treated by Oblique-Wire Bone Transport

2014 ◽  
pp. 1-15
Author(s):  
Karl Rathjen ◽  
Alex Cherkashin ◽  
Mikhail Samchukov
Keyword(s):  
Bone Defect ◽  
Tibial Fracture ◽  
Bone Transport ◽  
Open Tibial Fracture ◽  
Segmental Bone Defect ◽  
Segmental Bone

scholarly journals Treatment of open tibial fracture with bone defect caused by high velocity missiles: A case report

2013 ◽  
Vol 141 (9-10) ◽  
pp. 693-697
Author(s):  
Zoran Golubovic ◽  
Zoran Vukasinovic ◽  
Predrag Stojiljkovic ◽  
Ivan Golubovic ◽  
Aleksandar Visnjic ◽  
...  
Keyword(s):  
Bone Defect ◽  
External Fixator ◽  
High Velocity ◽  
Tibial Fracture ◽  
Healing Process ◽  
Primary Treatment ◽  
Bone Transport ◽  
Open Tibial Fracture ◽  
Tissue Reconstruction ◽  
Treatment Of Wounds

Introduction .Tibia fracture caused by high velocity missiles is mostly comminuted and followed by bone defect which makes their healing process extremely difficult and prone to numerous complications. Case Outline. A 34-year-old male was wounded at close range by a semi-automatic gun missile. He was wounded in the distal area of the left tibia and suffered a massive defect of the bone and soft tissue. After the primary treatment of the wound, the fracture was stabilized with an external fixator type Mitkovic, with convergent orientation of the pins. The wound in the medial region of the tibia was closed with the secondary stitch, whereas the wound in the lateral area was closed with the skin transplant after Thiersch. Due to massive bone defect in the area of the rifle-missile wound six months after injury, a medical team placed a reconstructive external skeletal fixator type Mitkovic and performed corticotomy in the proximal metaphyseal area of the tibia. By the method of bone transport (distractive osteogenesis), the bone defect of the tibia was replaced. After the fracture healing seven months from the secondary surgery, the fixator was removed and the patient was referred to physical therapy. Conclusion. Surgical treatment of wounds, external fixation, performing necessary debridement, adequate antibiotic treatment and soft and bone tissue reconstruction are essential in achieving good results in patients with the open tibial fracture with bone defect caused by high velocity missiles. Reconstruction of bone defect can be successfully treated by reconstructive external fixator Mitkovic.

scholarly journals Bone Transport over the Plate for the Segmental Bone Defect of Tibia

2018 ◽  
Vol 31 (2) ◽  
pp. 107-111
Author(s):  
Il Seo ◽  
Chang-Wug Oh ◽  
Joon-Woo Kim ◽  
Kyeong-Hyun Park
Keyword(s):  
Bone Defect ◽  
Bone Transport ◽  
Segmental Bone Defect ◽  
Segmental Bone

scholarly journals Early Experience with Local Custom Made Synthetic Bone Construct for the Treatment of Bone Defect

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Nazri Mohd Yusof ◽  
Harkeerat Singh
Keyword(s):  
Soft Tissue ◽  
Bone Defect ◽  
Bone Marrow Aspirate ◽  
Bone Transport ◽  
Docking Site ◽  
New Bone Formation ◽  
Segmental Bone Defect ◽  
Synthetic Bone ◽  
Custom Made ◽  
Segmental Bone

Introduction: Segmental bone defect can be treated with autologous bone graft and bone transport. Synthetic bone graft has successfully been used for the treatment of metaphyseal fracture or bone cyst. However, their use for the treatment of segmental bone defect has not been establish. Recently, a local company has produced a biodegradable custom made synthetic bone construct phosphate-based materials that is used to treat fractures and bone defect. Materials and Methods: After getting approval from Medical Device Agency, we used SBC to treat segmental bone defect in our patients. A case series review was conducted in these cases. Results: Three patients underwent surgery using SBC as a spacer to fill the defect at the docking site to prevent soft tissue collapse in one patient and as a replacement for bone autologous bone grafting in two patients. In our observation granules resorbtion ranged from 40-80% by 6 months with no radiological evidence of new bone formation. SBC mixed with bone marrow aspirate failed to harden into a palette. Although no new bone formation was seen at the docking site, insertion of SBC prevents soft tissue invagination and reduced the need of a second surgery to remove other conventional spacers. Conclusion: SBC may be used as a spacer to prevent soft tissue interposition and skin invagination in bone transport. However mixing it with bone marrow aspirate resulted in failure to form beads and does not form bone.

Cable Bone Transport for Segmental Bone Loss Secondary to Grade IIIB Open Tibial Fracture

2014 ◽  
pp. 1-13
Author(s):  
Mikhail Samchukov ◽  
John Birch ◽  
Alexander Cherkashin ◽  
Antony I. Riccio
Keyword(s):  
Bone Loss ◽  
Tibial Fracture ◽  
Bone Transport ◽  
Open Tibial Fracture ◽  
Segmental Bone
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