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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2006, Number 6

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Acta Ortop Mex 2006; 20 (6)

Fractures with segmental bone loss in children. Report of two cases treated with autologous corticocancellous graft

Brito RA, Martínez SI, Torres MA, Sotelo MA, López I, Cañas J

Language: Spanish
References: 15
Page: 289-293
PDF size: 127.29 Kb.


ABSTRACT

Introduction. Providing effective and efficient treatment to musculoskeletal lesions involving segmental bone loss has been a challenge for the orthopedic surgeon due to their low frequency and the little planning of the surgical procedures to perform. One of the methods used is the Ilizarov intercalary bone transport; however, in our experience the results have been unfavorable. Objective. Two cases of children with open fracture involving segmental bone loss and the rationale for their management with autologous cortical graft are presented. Patients and method. A total of 1,669 patients presented with open fracture between 1991 and 2005; only 12 had segmental bone loss, six of which were treated with the cortical graft procedure. Two cases are presented. Results. The mean bone defect was 10 cm in size; time to engraftment was 12 weeks. Partial weightbearing began at week 16. Discussion. Several authors have shown favorable results with various approaches. However, our experience coincides with those that have reported favorable results with the approach proposed herein.


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