Treatment of Gustilo-Anderson type III open fractures with segmental long bone loss secondary to gunshot and war ınjurıes in paediatric patients with bone segment transport by the limb reconstructıon system (LRS)

Demir, Tuğcan; Kilinccioglu, Namik Kemal; Doğramacı, Yunus

doi:10.1016/j.injury.2023.01.039

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Pediatric firearm injuries are a growing problem in the United States 1 . However, there are few reports on the best treatment for pediatric traumatic BD because of its rarity 12 .…”

Section: Discussionmentioning

confidence: 99%

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Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child

Kazemzadeh,

Hoffman,

Pumphrey

et al. 2023

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Case: A 4-year-old boy sustained an accidental self-inflicted gunshot wound to the left forearm. Radiographs revealed a comminuted mid-diaphyseal ballistic radius fracture with a critical-sized bone defect. The fracture was treated with the placement of a flexible intramedullary nail and antibiotic cement spacer, followed by second-stage bone grafting and open reduction and internal fixation of the radius 6 weeks later. Four months after the second-stage procedure, the radial defect healed appropriately without complications. Conclusion: In this case of a pediatric comminuted mid-diaphyseal radius fracture with bone loss, the induced membrane technique resulted in healing across a critical-sized bone defect.

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“…Pediatric firearm injuries are a growing problem in the United States 1 . However, there are few reports on the best treatment for pediatric traumatic BD because of its rarity 12 .…”

Section: Discussionmentioning

confidence: 99%

“…Reports of segmental bone loss in children because of ballistic fractures are rare, making treatment difficult 1,2 . The induced membrane technique (IMT), also known as the Masquelet technique, is a 2-stage bone reconstruction procedure that has gained popularity for treating critical-sized bone defects (BDs) 3 .…”

mentioning

confidence: 99%

Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child

Kazemzadeh,

Hoffman,

Pumphrey

et al. 2023

JBJS Case Connector

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Limb Salvage in a Pediatric Open Femur Fracture with Critical Bone Defect Secondary to Shotgun Injury: A Case Report

Cantrell,

Carney,

Welsh

et al. 2024

Journal of Orthopaedic Reports

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Management of Pediatric Type III Tibial Shaft Fractures

MacIsaac,

Wright,

Halsey

et al. 2024

Ann Plast Surg

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Background Pediatric open tibial fractures represent a challenging subset of injuries with limited literature to guide management. For children, the epidemiology, management, and outcomes of tibial-shaft fractures have not been fully described. Methods A retrospective analysis of the Trauma Quality Improvement Program Data Bank from 2017–2020 was used to query demographics, injury patterns, and management strategies in pediatric open tibial fractures. Fractures were compared by age group (0–5, 6–12, 13–17 years) and type (I/II vs type III). A subgroup analysis was performed on patients with type III open fractures. Results A total of 3480 open tibial fractures were identified, 3049 were type I/II, and 431 were type III. Motor vehicle accidents (48%) were the most common mechanism of injury (P < 0.001). Subanalysis of 128 type IIIb/c tibial fractures revealed local flap reconstruction (25%) skin graft (25%), and free tissue transfer were the most common management strategies and soft-tissue coverage was achieved after 162 hours (interquartile range = 109–231). Negative pressure wound therapy was utilized in 63% of cases but used in isolation in only 23% of cases. Immediate fixation with intramedullary nailing was more frequently used in the 13–17 age group while plate fixation was more commonly used in younger age groups. Conclusions Soft-tissue management patterns following open tibial shaft fractures mirror those seen in adult cohorts. The median time to achieve soft-tissue coverage exceeds the traditional 72-hour target advocated by Godina. Age-based variation is seen in orthopedic management of these fractures based on growth maintenance concerns.

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Treatment of Gustilo-Anderson type III open fractures with segmental long bone loss secondary to gunshot and war ınjurıes in paediatric patients with bone segment transport by the limb reconstructıon system (LRS)

Cited by 3 publications

References 14 publications

Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child

Treatment of a Ballistic Radius Fracture with Segmental Bone Loss Using the Masquelet Technique in a Child

Limb Salvage in a Pediatric Open Femur Fracture with Critical Bone Defect Secondary to Shotgun Injury: A Case Report

Management of Pediatric Type III Tibial Shaft Fractures

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