Limb salvage in a partially amputated distal femur with extensive segmental bone loss using the nailing after lengthening technique: a case report

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• 作者：Gerald Eliot Wozasek
• 关键词：Subtotal amputation with segmental long bone defect ; Cement spacer ; Bifocal lengthening ; Secondary nailing
• 刊名：Strategies in Trauma and Limb Reconstruction
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：10
• 期：1
• 页码：59-63
• 全文大小：940 KB
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• 作者单位：Gerald Eliot Wozasek (1)
  
  1. Department of Trauma Surgery, Medical University of Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria
  
• 刊物主题：Orthopedics; Traumatic Surgery; Surgical Orthopedics;
• 出版者：Springer Milan
• ISSN：1828-8928

文摘

Segmental long bone defects resulting from high-energy trauma with severe soft tissue loss are difficult problems to manage. Amputation was for a long time the primary mainstay of treatment. This is the report on a 15-year-old male patient who sustained a third-degree open, traumatic fracture with partial amputation of the left distal femur and extensive bone loss of 26?cm. Successful limb salvage was performed after vascular repair, shortening of the bone defect, primary placement of an antibiotic cement spacer and simple external fixation. This was followed by bifocal lengthening modifying the simple frame until limb equality was achieved and secondary intramedullary nailing 11?months after injury.