Case 7: Cable Bone Transport for Segmental Bone Loss Secondary to Grade IIIB Open Tibial Fracture

2015 ◽  
pp. 43-50 ◽  
Author(s):  
Mikhail Samchukov ◽  
John Birch ◽  
Alexander Cherkashin ◽  
Antony I. Riccio
Keyword(s):  
Bone Loss ◽  
Tibial Fracture ◽  
Bone Transport ◽  
Open Tibial Fracture ◽  
Segmental 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

scholarly journals Regenerate augmentation with bone marrow concentrate after traumatic bone loss

2012 ◽  
Vol 3 (2) ◽  
pp. 14 ◽  
Author(s):  
Jan Gessmann ◽  
Manfred Köller ◽  
Holger Godry ◽  
Thomas Armin Schildhauer ◽  
Dominik Seybold
Keyword(s):  
Bone Marrow ◽  
Bone Loss ◽  
Concentration Factor ◽  
Bone Marrow Aspiration ◽  
Bone Transport ◽  
Nicotine Abuse ◽  
Number Of Patients ◽  
The Mean ◽  
Segmental Bone ◽  
Bony Consolidation

Distraction osteogenesis after post-traumatic segmental bone loss of the tibia is a complex and time-consuming procedure that is often complicated due to prolonged consolidation or complete insufficiency of the regenerate. The aim of this feasibility study was to investigate the potential of bone marrow aspiration concentrate (BMAC) for percutaneous regenerate augmentation to accelerate bony consolidation of the regenerate. Eight patients (age 22-64) with an average posttraumatic bone defect of 82.4 mm and concomitant risk factors (nicotine abuse, soft-tissue defects, obesity and/or circulatory disorders) were treated with a modified Ilizarov external frame using an intramedullary cable transportation system. At the end of the distraction phase, each patient was treated with a percutaneously injection of autologous BMAC into the centre of the regenerate. The concentration factor was analysed using flow cytometry. The mean follow up after frame removal was 10 (4-15) months. With a mean healing index (HI) of 36.9 d/cm, bony consolidation of the regenerate was achieved in all eight cases. The mean concentration factor of the bone marrow aspirate was 4.6 (SD 1.23). No further operations concerning the regenerate were needed and no adverse effects were observed with the BMAC procedure. This procedure can be used for augmentation of the regenerate in cases of segmental bone transport. Further studies with a larger number of patients and control groups are needed to evaluate a possible higher success rate and accelerating effects on regenerate healing.

scholarly journals Segmental Bone Transport for Tibial Nonunion with Bone Loss: A Case Report

2005 ◽  
Vol 54 (4) ◽  
pp. 755-757
Author(s):  
Toru Matsugaki ◽  
Kazuhito Minamitani ◽  
Masahiro Shirahama
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Bone Transport ◽  
Segmental Bone Transport ◽  
Tibial Nonunion ◽  
Segmental Bone

scholarly journals A Case of Reconstruction of a Type IIIc Open Tibial Fracture with Bone Loss and Warm Ischemia Time of 13 Hours: Quality of Life and Review of the Literature

2021 ◽  
Vol 22 ◽  
Author(s):  
Antonios Kouzelis ◽  
Stavros B. Balasis ◽  
Aikaterini Bavelou ◽  
George Ch. Lampropoulos ◽  
Eleftheria Antoniadou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bone Loss ◽  
Tibial Fracture ◽  
Warm Ischemia ◽  
Warm Ischemia Time ◽  
Open Tibial Fracture ◽  
Review Of The Literature ◽  
Ischemia Time ◽  
Type Iiic

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.

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