Successful Limb Salvage Using Bone Transport for Complete Loss of Distal Tibia and Talus: A Case Report |
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Authors: | Sang Woo Kim Dong-Kyo Seo Chae-chil Lee Hanwook Kim Il-Yeong Hwang |
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Institution: | 1. Associate Professor, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea;2. Assistant Professor, Department of Orthopedic Surgery, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangwon, Rebulic of Korea;3. Senior Resident, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea;4. Assistant Professor, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea |
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Abstract: | Complex comminuted fractures involving the distal tibia, ankle joint, and talus are often accompanied by bone loss and are highly prone to complications such as soft tissue infection, fixation failure, and posttraumatic arthrosis, with joint reconstruction being difficult in cases with severe joint destruction or bone loss. In this case, bone transport and fusion procedures were performed to treat a patient with an open fracture involving total talar dislocation, talar bone loss, and distal tibial bone loss. Just as in this case, where the surrounding soft tissues remain healthy, limb salvage via segmental bone transport may be a reasonable option in fractures with massive bone loss that include joints. |
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Keywords: | 4 ankle joint bone loss bone transport comminuted open fracture limb salvage total talar dislocation |
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