Reimplantation of contaminated extruded segment of lateral femoral condyle cleansed with 10% povidine-iodine in complex floating knee injury with excellent outcome: Case report with 2 year follow up

Reimplantation of a Large Extruded Segment of Tibia in an Open Fracture in a Pediatric Patient

“…3 In addition, in cases with extruded bone segments, factors including adequate sterilization of the extruded fragment, delayed reimplantation, and definitive fixation, as well as the patient's young age and excellent health play a crucial role in the decision regarding reimplantation. 1 2 3…”

“…Thermal sterilization is one of the proper techniques, but it can destroy bone osteoinductivity and largely decrease its mechanical strength. 1 2 Another way is to use chemical sterilization techniques. Li et al reported successful reimplantation of an extruded osteoarticular segment of the femur in a rat model with sterilization by povidone–iodine scrub/orthopaedic antibiotic solution.…”

“…7 Similarly, Singhi et al described a reimplantation of an extruded metaphyseal segment of the distal femoral condyle following cleaning with copious saline and soaking in 10% povidone–iodine for 20 minutes in a 21-year-old male. 2 In some cases, hybrid sterilization methods have been used. Kumar et al used autoclaving and sterilizing with gentamicin in a reimplantation of a 10-cm-long extruded segment of radius.…”

“…1 The available information about the management of extruded bone is very limited. 1 2 There is an elevated risk of infection in the reimplantation of the extruded, contaminated, and devascularized bone segment. However, several case reports have described successful reimplantation of an extruded bone segment after cleaning with special techniques.…”

“…However, several case reports have described successful reimplantation of an extruded bone segment after cleaning with special techniques. 1 2 In all of these reports, the sterilization was conducted in different ways. Our knowledge of bone segment reimplantation is very limited.…”