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Surgical Management: Management of Traumatic Bone Defects

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Textbook of Polytrauma Management

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Abstract

Traumatic bone defects represent a complex clinical scenario and a major cause of patient disability. Advances in fixation methods, bone reconstruction, soft tissue management, and antibiotics have led to an increase in limb salvage rates. Autogenous bone grafting remains the gold standard for small defects, while distraction osteogenesis, vascularized bone grafts and the induced membrane technique among others, offer solutions for the larger defects. Each method carries unique advantages and shortcomings.

These debilitating injuries must be managed in specialized units with input from a multidisciplinary team.

The rehabilitation may be prolonged, while the end result may be associated with a degree of residual functional impairment.

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Author information

Authors and Affiliations

  1. Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

    Nikolaos Patsiogiannis

  2. Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Leeds, UK

    Peter V. Giannoudis

  3. NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, UK

    Peter V. Giannoudis

Authors
  1. Nikolaos Patsiogiannis
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  2. Peter V. Giannoudis
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Corresponding author

Correspondence to Peter V. Giannoudis .

Editor information

Editors and Affiliations

  1. Department of Trauma Surgery, University Hospital Zürich, Zürich, Switzerland

    Hans-Christoph Pape

  2. Department of Orthopaedic Surgery & Sports Medicine, The University of South Florida Morsani College of Medicine, Tampa, FL, USA

    Joseph Borrelli Jr.

  3. Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA

    Ernest E. Moore

  4. Klinik für Traumatologie, University Hospital of Zürich, Zürich, Switzerland

    Roman Pfeifer

  5. Rocky Vista University, College of Osteopathic Medicine, Parker, CO, USA

    Philip F. Stahel

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Patsiogiannis, N., Giannoudis, P.V. (2022). Surgical Management: Management of Traumatic Bone Defects. In: Pape, HC., Borrelli Jr., J., Moore, E.E., Pfeifer, R., Stahel, P.F. (eds) Textbook of Polytrauma Management . Springer, Cham. https://doi.org/10.1007/978-3-030-95906-7_31

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  • DOI: https://doi.org/10.1007/978-3-030-95906-7_31

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