2017
DOI: 10.19080/oroaj.2017.09.555764
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Use of Bone Transport in the Management of Large Diaphyseal Tibial Defects

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… Show more

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Cited by 2 publications
(4 citation statements)
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“…2A). In the literature, reconstruction by bone transfer with Ilizarov method is the most widely used technique [17], [18] . In our case, the fixative offered the advantage of being minimally invasive, of progressive dynamization, and did not interfere with the graft.…”
Section: Discussionmentioning
confidence: 99%
“…2A). In the literature, reconstruction by bone transfer with Ilizarov method is the most widely used technique [17], [18] . In our case, the fixative offered the advantage of being minimally invasive, of progressive dynamization, and did not interfere with the graft.…”
Section: Discussionmentioning
confidence: 99%
“…Throughout the world, trauma is a leading cause of death and disability for all age groups except persons older than 60 years and is one of the top three causes of death for persons between 5 and 44 years [5] . Limb salvage techniques are the main stay in current management of large bone defects and limb shortening in infected non unions warranting bone resection to aid management [6] . The mean age of limb lengthening varies between 30-35yrs as most writers noted [7,8,9,10] .…”
Section: Introductionmentioning
confidence: 99%
“…It is also found out that Males undergo distraction osteogenesis far more frequent than Female [11] . More distractions are done for tibia than any other major limb long bone [6,12] . Patients had the linear rail device removed earlier in metaphyseal osteotomies than diaphyseal.…”
Section: Introductionmentioning
confidence: 99%
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