STRESS FRACTURE AT DOCKING SITE AFTER BONE TRANSPORT MANAGED WITH INTRAMEDULLARY INTERLOCKING NAIL AND ILIAC AUTOGRAFT - A RARE CASE REPORT
INTRODUCTION : Distraction osteogenesis was introduced by Ilizarov and further developed by Cataneo et al. The concept of formation of new bone and soft tissues from distraction osteogenesis and freshening the sclerosed bone ends by corticotomy for stronger bony union and consolidation is applied here. Here we present a CASE REPORT : rare case of young adult operated by tibial bone transport using monolateral external xator, who presented to us after refracture near the docking site. We managed this patient with intramedullary reamed nailing and iliac crest autografting, showing good bony union and functional outcome at 3 months postoperatively. CONCLUSION : Thus from previous literature and our case ndings, we conclude that re-fractures and other complications of bone transport can be effectively managed by intramedullary reamed nailing leading to good bony union and fracture consolidation. The intramedullary nail provides rigid stability to both new bone regenerate due to callotasis and union at docking sit, signicantlydecreased rates of future refractures. This signicantly decreases patients morbidity and delivering satisfactory functional outcome.