Surgical management of pilon fractures with large segmental bone defects using fibular strut allografts: a report of two cases

被引：0

作者：

Kim, Weon-Yoo ^{[1
]}

Ji, Jong-Hun ^{[1
]}

Park, Sang-Eun ^{[1
]}

Kim, Young-Yul ^{[1
]}

Jeong, Jae Jung ^{[1
]}

Kang, Hyun-Taek ^{[1
]}

机构：

[1] Catholic Univ Korea, Dept Orthopaed Surg, Daejeon St Marys Hosp, Taejon, South Korea

来源：

EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY | 2011年 / 21卷 / 06期

关键词：

Pilon fracture; Large segmental bone defect; Fibular strut allograft; Locking plate; SKELETAL DEFECTS; RECONSTRUCTION; GRAFT; HUMERUS; TRAUMA; ANKLE;

D O I：

10.1007/s00590-010-0732-3

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：

We present two patients with open pilon fractures with large bone defects treated successfully with fibular strut allografts. The patients were initially treated by massive irrigation, wound debridement, and temporary external fixation. After complete wound healing, the bone defects were managed. Because autologous iliac crest or fibular bone grafts were impossible to be harvested due to multiple fractures, the bone defects were reconstructed with fibular strut allografts. Fixation was performed with a periarticular distal tibia locking plate. At 2 months postoperatively, the patients ambulated with partial weight-bearing; at 6 months, they had full range of motion of the ankle joint and full weight-bearing.

引用

页码：439 / 444

页数：6

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