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Distraction osteogenesis in a segmental tibial delayed union

  • Said SaghiehEmail author
  • Elie Ghanem
  • Bernard Sagherian
  • Maria Karam
  • Nadim Afeiche
Case Report
  • 92 Downloads

Abstract

The treatment of open segmental tibia fracture associated with bone loss is very demanding. Despite the fact that the principles of the distraction osteogenesis are being followed commonly in these fractures, there is not a single technique that fits all situations. In this article, we report a case where the initial fractures were stabilized with a monolateral bridging external fixator with no evidence of callus formation 6 weeks later. The proximal fracture was used as “an osteotomy” for bone transport after a latent period of 6 weeks of compression. The successful outcome in this patient, confirms that distraction of a delayed union even when it is mobile, can lead to bone formation and healing of the delayed union.

Keywords

Tibia fracture Distraction osteogenesis Delayed union Bisphosphonates 

Ostéogénèse par distraction dans un cas de retard de consolidation du tibia

Résumé

Le traitement d’une fracture ouverte du tibia avec perte de substance osseuse est très difficile. Malgré le fait que les principes de l’ostéogenèse par distraction sont communément suivis dans ces fractures, il n’existe pas une technique univoque qui conviendrait à tous les cas. Dans cet article, nous rapportons un cas dans lequel la fracture avait été initialement stabilisée avec pontage par un fixateur externe monolatéral, sans apparition de cal au bout de six semaines. La fracture proximale a alors été utilisée comme « ostéotomie » pour le transfert osseux après une période de latence pour mise en compression.de six semaines. Le succès obtenu chez ce patient confirme le fait que la mise en distraction d’un retard de consolidation, même s’il persiste de la mobilité, peut conduire à l’ostéogenèse et à la guérison du retard de consolidation.

Mots clés

Fracture du tibia Distraction Ostéogenèse Retard de consolidation Biphosphonates 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Said Saghieh
    • 1
    Email author
  • Elie Ghanem
    • 2
  • Bernard Sagherian
    • 2
  • Maria Karam
    • 3
  • Nadim Afeiche
    • 1
  1. 1.Orthopaedic SurgeryAmerican University of Beirut Medical CenterBeirutLebanon
  2. 2.Surgery DepartmentAmerican University of Beirut Medical CenterBeirutLebanon
  3. 3.Faculty of MedicineAmerican University of BeirutBeirutLebanon

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