Management of Segmental Tibial Bone Defects With a Motorized Intramedullary Bone Transport Nail: A Case Review With Follow-Up

被引:5
作者
Stoneback, Jason W. [1 ]
Erdman, Mary Kate [2 ]
Marecek, Geoffrey S. [3 ]
机构
[1] Univ Colorado, Sch Med, Dept Orthoped, 12631 East 17th Ave,Mail Stop B202,Room 4602, Aurora, CO 80045 USA
[2] Univ Southern Calif, Keck Sch Med, Dept Orthopaed Surg, Los Angeles, CA 90007 USA
[3] Cedars Sinai Med Ctr, Dept Orthopaed Surg, Los Angeles, CA 90048 USA
关键词
bone transport; segmental defect; tibia; distraction osteogenesis; SIZE;
D O I
10.1097/BOT.0000000000002119
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Large segment bone defects of the tibia are challenging problems. Although caused by a wide range of conditions, tibial critical bone loss defects often require complex reconstructive plans with prolonged inability to weight-bear on the effected extremity. Reconstruction options frequently require harvesting of autograft leading to further morbidity. Distraction osteogenesis allows reconstruction of large segmental defects of the tibia while avoiding donor site morbidity. Historically, distraction osteogenesis of tibia was most reliably performed with circler ring external fixation. This process allowed early weight-bearing but unfortunately has considerable drawbacks. Negative effects include pin tract irritation and inability to wear normal clothes. The advent of the bone transport nail now allows management of tibial critical bone loss defects through distraction osteogenesis negating the need for external fixation. This new technique allows treatment of large segmental tibial defects by means of distraction osteogenesis with an all-internal device avoiding the negative effects of external fixation while simultaneously allowing early weight-bearing.
引用
收藏
页码:S13 / S18
页数:6
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