Use of Bone Transport in the Management of Large Diaphyseal Tibial Defects

Cary Fletcher
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Cary Fletcher: Department of Orthopedics, Saint Ann’s Bay Regional Hospital, Jamaica

Orthopedics and Rheumatology Open Access Journals, 2017, vol. 9, issue 3, 56-60

Abstract: Large bony defects usually occur following high energy open injuries or post debridement. The tibial shaft is the commonest site of these defects. Historically, the treatment was primary amputation. Limb salvage techniques are the current standard of care and options include: staged procedures inclusive of dead space management, soft tissue coverage and subsequent bone grafting, vascularised bone grafting and distractraction osteogenesis. The simultaneous treatment of bone loss, infection, non-union, deformity and leg length discrepancy makes bone transport an extremely valuable treatment option. Due to prolonged treatment times and various potential complications, proper patient selection is mandatory. While it is not a panacea, it remains the most versatile treatment option for complex soft tissue with large bony defects.

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:9:y:2017:i:3:p:56-60

DOI: 10.19080/OROAJ.2017.09.555764

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