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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2018, Number 6

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Acta Ortop Mex 2018; 32 (6)

Membrane induction and transposition of non-vascularized ipsilateral fibula in posttraumatic bone neoformation. Case report

Bustos-Mora R, Betancourt CM, Valadez-Soto JM, Flores-Villalobos A

Language: Spanish
References: 14
Page: 366-370
PDF size: 280.73 Kb.


ABSTRACT

Objective: To demonstrate the outcome of tibial bone neo formation, using induced-membrane technique and non-vascularized ipsolateral fibular graft transposition. Case report: A 25 years old male with a 2 years ago firearm injury in left leg, presenting an initial diagnosis of open fracture Gustilo IIIB AO 42C3 IO4NV1MT2 with a 7cm tibial diaphyseal bone defect. During his hospital evolution multiple interventions were made including surgical debridement and skin grafts placement, with unfavorable results. Therefore, we decided to use the induced-membrane technique and non-vascularized ipsolateral fibular graft transposition, resulting in a cane dependent ambulation, in 4 months evolution after last intervention. Conclusion: Induced-membrane technique and non-vascularized ipsolateral fibular graft transposition could be a successful alternative for the management of patients with severe bone loss.


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