PDF herunterladen
CC BY 4.0 · Surg J (N Y) 2019; 05(02): e50-e52
DOI: 10.1055/s-0039-1688952
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reimplantation of a Large Extruded Segment of Tibia in an Open Fracture in a Pediatric Patient

Ahmadreza Afshar  ∗
1   Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
,
Ali Tabrizi 
1   Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
› Institutsangaben
Weitere Informationen

Publikationsverlauf

23. November 2018

22. März 2019

Publikationsdatum:
20. Juni 2019 (online)

   Lizenzen und Reprints

Abstract

A 6-year-old boy presented with a Gustilo type IIIB open fracture on his left leg with a segment of bone loss in his tibia. The boy's attendants brought two bone fragments recovered from the scene of the accident. The extruded bones were a segment with a length of 5.5 cm and a cortical bone with a length of 4 cm. The extruded fragments were reimplanted after scrubbing with 10% povidone–iodine for 20 minutes, soaking in 2% chlorhexidine solution for 20 minutes, and rinsing with normal saline. Four months after the injury, the extruded fragments were incorporated in the callus of the fracture site and complete fracture union in appropriate alignment was achieved.

Keywords

extruded bone - open fracture - reimplantation - tibia fracture - chlorhexidine gluconate - povidone–iodine
 

  • References

  • 1 Aizah N, Su Y, Shaifulnizam C, MRos M. Reimplantation of an extruded femoral segment after gamma sterilization in A type IIIA supracondylar femur fracture: a case report. Malays Orthop J 2014; 8 (02) 66-68
    PubMedGoogle Scholar
  • 2 Singhi PK, Sivakumar R, Somashekar V, Kusabi V, Vinoth T. Reimplantation of contaminated extruded segment of lateral femoral condyle cleansed with 10% povidine-iodine in complex floating knee injury with excellent outcome: case report with 2 year follow up. J Clin Orthop Trauma 2016; 7 (Suppl. 01) 48-51
    PubMedGoogle Scholar
  • 3 Rai BK, Vaishya R, Agarwal AK. Spontaneous bone regeneration in an open segmental fracture of the forearm with extruded middle segment. Cureus 2016; 8 (09) e772
    PubMedGoogle Scholar
  • 4 Kirkup JR. Traumatic femoral bone loss. J Bone Joint Surg Br 1965; 47: 106-110
    PubMedGoogle Scholar
  • 5 Rouvillain JL, Navarre T, Noseda O, Garron E. Traumatic femoral bone defect reconstruction with an autoclaved autologous femoral segment. A 10-year follow-up. Acta Orthop Belg 2006; 72 (02) 229-233
    PubMedGoogle Scholar
  • 6 Mazurek MT, Pennington SE, Mills WJ. Successful reimplantation of a large segment of femoral shaft in a type IIIA open femur fracture: a case report. J Orthop Trauma 2003; 17 (04) 295-299
    CrossrefPubMedGoogle Scholar
  • 7 Li T, Yang ZZ, Peng MZ. , et al. Reimplantation of an extruded osteoarticular segment of the femur: Case series and in vitro study in a rat model. Injury 2017; 48 (11) 2426-2432
    CrossrefPubMedGoogle Scholar
  • 8 Kumar P, Shrestha D, Bajracharya S. Replacement of an extruded segment of radius after autoclaving and sterilising with gentamicin. J Hand Surg Br 2006; 31 (06) 616-618
    CrossrefPubMedGoogle Scholar