Bone debridement and limb lengthening in type III open tibial shaft fractures: no infection or nonunion in 9 patients

Acta Orthopaedica Scandinavica
H P Granhed, A H Karladani

Abstract

We retrospectively reviewed a consecutive series of 9 patients with tibial shaft fractures and extensive soft tissue damage, who had completed treatment by means of bone resection and distraction. 4 patients had type IIIB fractures and 5 type IIIC. The median follow-up time after bone resection was 27 (12-43) months. All patients were treated with debridement of devitalized soft tissue and resection of dead bone at the fracture site. The median bone shortening was 4 (3-9) cm. Equal limb-length was restored by proximal corticotomy and lengthening. A free vascular flap in 5 patients and a local flap in 4 patients corrected the soft tissue loss. All soft tissue transfers were successful, except in 1 case, which healed after a new free flap was made. The median union time of the fracture was 8 (4.5-28) months from the injury and 7 (3-10) months from the time of bone resection. There were no deep infections or nonunions and no secondary amputations. This series shows that bone debridement and limb lengthening, with a multidisciplinary approach, is often successful in salvaging limbs at high risk of amputation.

References

Oct 1, 1992·Acta Orthopaedica Scandinavica·R HammerL Ostrup
Oct 1, 1992·Acta Orthopaedica Scandinavica·A ReigstadT Husby
Mar 1, 1987·Journal of Pediatric Orthopedics·G De BastianiG Trivella
Jul 1, 1982·Plastic and Reconstructive Surgery·N Chang, S J Mathes
Jan 1, 1982·Archives of Orthopaedic and Trauma Surgery·S Hierholzer, G Hierholzer
Aug 1, 1980·Plastic and Reconstructive Surgery·S J Mathes, F Nahai
Mar 1, 1994·The Journal of Bone and Joint Surgery. American Volume·E E Johnson
Oct 1, 1993·The Journal of Bone and Joint Surgery. American Volume·G M GeorgiadisA L Simmons
Jan 23, 1999·International Orthopaedics·H R SongJ H Ko
Apr 8, 1999·Injury·R M AtkinsA J Porteous

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