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03 Jun 2024
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Fracture after bone transport

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Clinical Details

Clinical and radiological findings:  28 y old male H/o MVA with open tibia fracture treated elsewhere with debridment and ext fixation shifted later to plate and screws Referred later to our unit with chronic osteomyelitis and infected plate

Preoperative Plan

Planning remarks:  Clinically there is wound infection with discharge and dehiscence X ray showed non union and dignz of chronic osteomyelitis

Surgical Discussion

Operative remarks: 

Removal of plate and screws

Debridment of bone and soft tissues

Placement of cement impregnated with antibiotics

Fixation with bone transport circular frame

Staged distal osteotomy 3 weeks later in addition to removal of cement

Postoperative protocol:   Treatment achieved successfully

Follow up:   During the follow up , 3 months after removal of the frame patient had a fall and fracture at lengthening site Treated successfully in a well molded cast till union achieved

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