Intercalary allograft reconstruction in a patient with large tibial defect: Case report

Intercalary allograft reconstruction in a patient with large tibial defect: Case report

A fit 26 year-old-man presented to our Department with an open fracture of the left tibial shaft (AO 42-C3). The fracture was initially treated with an External Fixator, which was replaced by an intramedullary Grosse Kempf nail after 4 months. In the following year he developed an atrophic non-union...

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Veröffentlicht in:Injury 2018-12, Vol.49, p.S39-S42
Hauptverfasser: Belluati, Alberto, Pari, Carlotta, Busatto, Carlo, Pantalone, Andrea, Salini, Vincenzo
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Sprache:eng
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Bone loss
Intercalary allograft reconstruction
Tibial shaft non-union
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container_title Injury
container_volume 49
creator Belluati, Alberto
Pari, Carlotta
Busatto, Carlo
Pantalone, Andrea
Salini, Vincenzo
description A fit 26 year-old-man presented to our Department with an open fracture of the left tibial shaft (AO 42-C3). The fracture was initially treated with an External Fixator, which was replaced by an intramedullary Grosse Kempf nail after 4 months. In the following year he developed an atrophic non-union and we witnessed the increasing bone resorption at the fracture site which led to the nail breakage. An accurate CT pre-operative planning was made and a revision surgery was successfully performed: the broken nail was removed and intercalary allograft reconstruction was made, using a compressible intramedullary nail. Whereas in literature it is well described how intercalary allografts can be used to fill the massive diaphyseal defects after tumor resections, we assumed it could also be an adequate technique to treat a large bone defect at a non-union site.
doi_str_mv 10.1016/j.injury.2018.09.056
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subjects Bone loss
Intercalary allograft reconstruction
Tibial shaft non-union
title Intercalary allograft reconstruction in a patient with large tibial defect: Case report
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