scholarly journals Limb salvage in a partially amputated distal femur with extensive segmental bone loss using the nailing after lengthening technique: a case report

2015 ◽  
Vol 10 (1) ◽  
pp. 59-63 ◽  
Author(s):  
Gerald Eliot Wozasek
2021 ◽  
pp. 100550
Author(s):  
James M.Y. Chowdhury ◽  
Daniel J. Wilks ◽  
Waseem Bhat ◽  
Sam Vollans ◽  
Nicholas Foster ◽  
...  

2014 ◽  
Vol 20 (1) ◽  
pp. 36
Author(s):  
Jong Hoon Park ◽  
Si-Young Park ◽  
Dae Hee Lee ◽  
Yeok Gu Hwang ◽  
Hyun Min Lee

Author(s):  
Chiao Yee Lim ◽  
Hirohisa Katagiri ◽  
Hideki Murata ◽  
Junji Wasa ◽  
Michihito Miyagi ◽  
...  

2005 ◽  
Vol 54 (4) ◽  
pp. 755-757
Author(s):  
Toru Matsugaki ◽  
Kazuhito Minamitani ◽  
Masahiro Shirahama

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
C. Blair ◽  
A. T. Simela ◽  
B. J. Cross

Cases of limb salvage following skeletal trauma involving significant bone loss pose a particular challenge to the reconstructive surgeon. Certain techniques for addressing this complex issue have been advanced in recent years and have met with considerable success. The Masquelet technique involves a staged procedure in which a temporary skeletal stabilization is paired with implantation of an antibiotic spacer and left in place for 6–8 weeks, during which time a “pseudomembrane” forms around the cement spacer. During the second stage of the procedure, the pseudomembrane is incised, the antibiotic spacer removed, and bone graft is placed. We present a case of significant segmental femur loss in a 19-year-old male opting for limb salvage in which a 17-centimeter segmental loss of bone was essentially regrown using a combination of the Masquelet technique with supplemental endosteal fixation.


2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Prakash K. George ◽  
Bibhas Dasgupta ◽  
Bhanuprakash Reddy ◽  
P. V. Shubhanshu Bhaladhare

Introduction: Non-union of closed humerus fractures is estimated to be about 5.5% and this figure is even higher in open fractures. In cases of non-union of the humerus with segmental bone defect, if a conventional treatment has failed, free fibular transfer is often considered for satisfactory bone union. In some cases, where there is severe scarring due to multiple previous surgeries. In such cases, skin cover may not be adequate and tight closures often lead to necrosis and failure excision. Segmental bone defects of the upper limb that is >6 cm with soft-tissue coverage defects have limited options for reconstruction. Osteomyocutaneous fibula may provide to be a valuable option in such cases. Case Report: This is a report a case of a 27-year-old male presented with a history of road traffic accident with Gustilo-Anderson Grade 3 B open fracture of humerus midshaft. He developed humerus osteomyelitis, for which he underwent surgical debridement. He presented to us with gap non-union with segmental bone loss. The overlying skin was scarred and had significant limb shortening. Treatment options for such a case are reconstruction or amputation. Challenges for reconstruction were to deal with the segmental bone loss and the soft-tissue defect following scar excision. We tackled both these challenges with an osteomyocutaneous fibula flap. At 1-year follow-up, the humerus showed union and flap uptake was good. Conclusion: Osteomyocutaneous fibula flap is a valuable treatment options in such complicated cases allowing for both bone union and soft-tissue coverage with a single surgical procedure. Keywords: Osteomyocutaneous flap, humerus gap nonunion, osteomyelitis humerus.


2021 ◽  
pp. 131-137
Author(s):  
Santanu Kar ◽  
Hemant Bansal ◽  
Vijay Sharma ◽  
Kamran Farooque

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.


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