Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Acute Shortening and Gradual Lengthening for a Comminuted Tibia Fracture with Massive Bone and Soft Tissue Defect - Case Report -

대량의 골 및 연부조직 결손을 동반한 분쇄 경골 골절에서의 급성 단축술과 점진적 연장술 - 증례 보고 -

  • Han, Ho-Sung (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital) ;
  • Huh, Jung-Kyu (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital) ;
  • Song, Cheol-Ho (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital) ;
  • Baek, Goo-Hyun (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital) ;
  • Lee, Young-Ho (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital) ;
  • Gong, Hyun-Sik (Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital)
  • 한호성 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과) ;
  • 허정규 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과) ;
  • 송철호 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과) ;
  • 백구현 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과) ;
  • 이영호 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과) ;
  • 공현식 (서울대학교 의과대학 정형외과학교실 분당서울대병원 정형외과)
  • Published : 2011.05.31
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Abstract

Traditional management of comminuted tibia fractures with massive bone and soft tissue defect includes soft tissue coverage and bone grafting. However, this method requires a large flap and a substantial amount of bone graft. Acute shortening can reduce the amount of required soft tissue and bone graft. We report a case of open tibia and fibula fracture with severe bone and soft tissue defect that was successfully treated by acute shortening of the tibia with immediate fibular strut bone graft and then by gradual lengthening of the tibia at its proximal metaphysis.

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