Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00493
Yasir Mohib, Usman Ali, Fizzah Mariam, Muhammad Bilal Raza Slote, Ziad Ali, Haroon Ur Rashid
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引用次数: 0

Abstract

Case: Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications-skin invagination and failure at proximal docking site-were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion.

Conclusion: This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.

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Ilizarov框架在胫骨节段性骨缺失患者中的应用:1例报告。
病例:35岁男性在挤压伤后出现14厘米胫骨节段性缺损(Gustilo Anderson型iiia)。采用Ilizarov框架进行四焦点骨运输,并进行3次截骨。两个轻微的并发症-皮肤内陷和近端对接部位失败-被解决。18个月时,患者表现出良好的功能结果,活动范围全,无肢体长度差异、感染或不愈合迹象。结论:本病例强调了四焦点骨运输作为治疗节段性胫骨缺损的有效方法的潜力,即使在资源有限的情况下,也证明了复杂的骨科挑战可以通过适当的技术和护理获得良好的结果。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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