Cable Bone Transport for Segmental Bone Loss Secondary to Grade IIIB Open Tibial Fracture
摘要
Thirteen year old male sustained a grade IIIB open tibial/fibular fracture with segmental bone loss and large soft tissue defect. He was initially treated with ankle spanning external fixation, multiple irrigation and debridement procedures, and an eventual vastus lateralis vascularized free flap. Following flap coverage, stabilization was converted to a circular external fixator to allow for proximal tibial osteotomy and an 8-cm cable bone transport.