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Use of Bone Transport in the Management of Large Diaphyseal Tibial Defects

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  • Cary Fletcher

    (Department of Orthopedics, Saint Ann’s Bay Regional Hospital, Jamaica)

Abstract

Large bony defects usually occur following high energy open injuries or post debridement. The tibial shaft is the commonest site of these defects. Historically, the treatment was primary amputation. Limb salvage techniques are the current standard of care and options include: staged procedures inclusive of dead space management, soft tissue coverage and subsequent bone grafting, vascularised bone grafting and distractraction osteogenesis. The simultaneous treatment of bone loss, infection, non-union, deformity and leg length discrepancy makes bone transport an extremely valuable treatment option. Due to prolonged treatment times and various potential complications, proper patient selection is mandatory. While it is not a panacea, it remains the most versatile treatment option for complex soft tissue with large bony defects.

Suggested Citation

  • Cary Fletcher, 2017. "Use of Bone Transport in the Management of Large Diaphyseal Tibial Defects," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 9(3), pages 56-60, December.
    • Handle: RePEc:adp:joroaj:v:9:y:2017:i:3:p:56-60
    DOI: 10.19080/OROAJ.2017.09.555764
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