Ipsilateral fibular transfer for a large tibial defect caused by a gunshot injury: case report.

Abstract:

:Segmental bony defects in open fractures of the tibia are bridged with bone grafting, free vascularized fibular grafts, or an external ring fixator. A 33-year-old man sustained a gunshot injury to his left leg, resulting in Gustillo type IIIB open fractures of the tibia and fibula. The tibia had a segmental massive defect of 19 cm in the midshaft. Debridement and immediate application of an Ilizarov external fixator were performed. The midportion of the ipsilateral fractured fibula served as a bridging vascularized graft for the tibial defect. Good bony union and fibular hypertrophy were obtained. Use of a fractured fibula from a zone previously injured by a gunshot has not been reported. This case demonstrates the successful transfer of a fractured fibula for the bridging of an ipsilateral tibial defect caused by a gunshot injury.

journal_name

Mil Med

journal_title

Military medicine

authors

Goren D,Sapir O,Stern A,Nyska M

doi

10.7205/milmed.170.5.418

keywords:

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

418-21

issue

5

eissn

0026-4075

issn

1930-613X

journal_volume

170

pub_type

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