تقرير
Maximizing outcomes in a Gustilo-Anderson type IIIB open tibia fracture with segmental bone loss: A case report and review of the literature.
| العنوان: | Maximizing outcomes in a Gustilo-Anderson type IIIB open tibia fracture with segmental bone loss: A case report and review of the literature. |
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| المؤلفون: | Young PF; Department of Orthopaedic Surgery and Rehabilitation, University of Florida, Jacksonville, Florida., Pirgousis P; Department of Otorhinolaryngology/Head and Neck Surgery, Mayo Clinic Florida, Jacksonville, Florida., Helms JR; Department of Orthopaedic Surgery and Rehabilitation, University of Florida, Jacksonville, Florida. |
| المصدر: | Journal of orthopaedic case reports [J Orthop Case Rep] 2019; Vol. 10 (1), pp. 58-61. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Indian Orthopaedic Research Group Country of Publication: India NLM ID: 101641392 Publication Model: Print Cited Medium: Print ISSN: 2250-0685 (Print) Linking ISSN: 22500685 NLM ISO Abbreviation: J Orthop Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Maharashtra, India : Indian Orthopaedic Research Group |
| مستخلص: | Introduction: Gustilo-Anderson type IIIB open fractures are severe injuries associated with multiple complications and threaten the viability of the limb. In addition, large segmental bone defects pose reconstructive challenges when treating open fractures and outcomes can be unpredictable. This case report highlights a good outcome in a patient with a type IIIB open tibia fracture with segmental bone loss that was successfully treated with a staged induced membrane technique and latissimus dorsi free flap. Case Report: A 17-year-old female sustained a Gustilo-Anderson type IIIB open tibia fracture with segmental bone loss after a motor vehicle collision. While amputation seemed inevitable, her extremity was able to be salvaged using the staged induced membrane technique and free flap coverage. She made an exceptional recovery and at 24-month follow-up, her short form-12 scores and foot and ankle outcome scores were close to the average for a healthy adult. Conclusion: Our patient's outcome represents the benefits of a shared decision-making process with a multidisciplinary approach and highlights the benefit of limb salvage in a healthy patient. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.) |
| References: | Langenbecks Arch Surg. 2003 Oct;388(5):344-6. (PMID: 13680234) Orthop Clin North Am. 2010 Jan;41(1):27-37; table of contents. (PMID: 19931050) Ann Chir Plast Esthet. 2000 Jun;45(3):346-53. (PMID: 10929461) J Bone Joint Surg Am. 2000 Dec;82(12):1681-91. (PMID: 11130641) J Orthop Trauma. 2010 Dec;24(12):745-51. (PMID: 21063216) Plast Reconstr Surg. 2009 Dec;124(6):1965-73. (PMID: 19952652) J Am Acad Orthop Surg. 2004 Sep-Oct;12(5):360-9. (PMID: 15469230) J Am Acad Orthop Surg. 2015 Mar;23(3):143-53. (PMID: 25716002) J Am Acad Orthop Surg. 2012 Mar;20(3):142-50. (PMID: 22382286) Arch Plast Surg. 2013 Sep;40(5):575-83. (PMID: 24086813) Orthop Clin North Am. 2010 Jan;41(1):63-73; table of contents. (PMID: 19931054) J Am Acad Orthop Surg. 2006;14(10 Spec No.):S205-10. (PMID: 17003200) Orthop Traumatol Surg Res. 2010 Sep;96(5):549-53. (PMID: 20605548) Injury. 2010 Nov;41 Suppl 2:S72-7. (PMID: 21144933) J Trauma. 1984 Aug;24(8):742-6. (PMID: 6471139) |
| فهرسة مساهمة: | Keywords: Trauma; free tissue flap; induced membrane technique; limb salvage; open fracture |
| تواريخ الأحداث: | Date Created: 20200618 Latest Revision: 20220415 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7276582 |
| DOI: | 10.13107/jocr.2019.v10.i01.1636 |
| PMID: | 32547980 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2250-0685 |
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| DOI: | 10.13107/jocr.2019.v10.i01.1636 |