Successful reimplantation of extruded long bone segments in open fractures of lower limb – A report of 3 cases

Abstract Extruded bone segments are rare complication of high energy open fractures. Routinely these fractures are treated by debridement followed by bone loss management in the form of either bone transport or free fibula transfer. There are very few reports in the literature about reimplantation o...

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Bibliographic Details
Published in:Injury 2015-07, Vol.46 (7), p.1389-1392
Main Authors: Shanmuganathan, Rajasekaran, Chandra mohan, Arun Kamal, Agraharam, Devendra, Perumal, Ramesh, Jayaramaraju, Dheenadhayalan, Kulkarni, Sunil
Format: Article
Language:English
Subjects:
Accidents, Traffic
Adolescent
Adult
Amikacin - administration & dosage
Anti-Bacterial Agents - administration & dosage
Bone loss
Cefuroxime - administration & dosage
Debridement - methods
Extruded bone segments
Femoral Fractures - pathology
Femoral Fractures - surgery
Fracture Healing
Fractures, Open - pathology
Fractures, Open - surgery
Humans
India
Male
Middle Aged
Open fractures
Orthopedics
Reimplantation of extruded bone segments
Replantation - methods
Sterilisation techniques
Tibial Fractures - pathology
Tibial Fractures - surgery
Treatment Outcome
Vancomycin - administration & dosage
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Summary:Abstract Extruded bone segments are rare complication of high energy open fractures. Routinely these fractures are treated by debridement followed by bone loss management in the form of either bone transport or free fibula transfer. There are very few reports in the literature about reimplantation of extruded segments of bone and there are no clear guidelines regarding timing of reimplantation, bone stabilisation and sterilisation techniques. Reimplantation of extruded bone is a risky procedure due to high chances of infection which determines the final outcome and can result in secondary amputations. We present two cases of successful reimplantation of extruded diaphyseal segment of femur and one case of reimplantation of extruded segment of tibia.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2015.04.006