We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Treatment of tibial nonunion with bone defect using a heterotopic ossification as autologous bone graft: literature overview and case report.
- Authors
Schlumberger, Michael; Mayr, Raul; Koidl, Christian; Eichinger, Martin; Roth, Tobias
- Abstract
Introduction: Nonunion after open fracture of the lower leg is a frequent complication with a prevalence of up to 40%. In cases with major bone defects, revision of the osteosynthesis with bone grafting is commonly performed. Until today, there is no report on treatment of a tibial nonunion with transplantation of a heterotopic ossification.Presentation of case: We present a case of a 27-year-old male patient, who suffered from a paragliding accident with major injuries. An open fracture of the lower leg (Gustilo-Anderson IIIB) was initially treated with external fixation and vacuum-assisted closure, followed by reamed intramedullary nailing. The tibia resulted in a bone defect situation with nonunion. It was successfully treated with revision, fibular osteotomy and transplantation of a heterotopic ossification, harvested from the ipsilateral hip.Conclusion: In special cases, autologous transplantation of a mature heterotopic ossification is an attractive bone graft option in treating nonunion defects.
- Subjects
AERONAUTICAL sports; BONE grafting; EXTERNAL fixators; FRACTURE fixation; TREATMENT of fractures; INTERNAL fixation in fractures; METAPLASTIC ossification; OSTEOTOMY; SPORTS injuries; SURGICAL complications; TIBIA injuries; NEGATIVE-pressure wound therapy
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2018, Vol 28, Issue 4, p741
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-018-2146-6