Ilizarov Method Extremity Solution for Severe Damage. Obtain Bone and Soft Tissues Stability

This case reports a 49 year old female who was involved in a high-speed motor vehicle accident. She suffered a limb threatening type IIIC open distal tibia fracture with circumferential skin and muscle loss. She had exposed neurovascular structures. She was managed with limb salvage of aggressive surgical debridement, bony stabilization with a circular fixator, and early soft tissue coverage. Residual limb length discrepancy was addressed with staged proximal tibial osteoplasty.