Treatment of excessive bone loss from both crus bones
with internal bone transport using an intramedullary nail
– case report. Przemysław Bereza , Piotr Wojciechowski , Damian Kusz Ortop Traumatol Rehabil 2013; 15(1):89-98 ICID: 1032793
Article type: Case report
IC™ Value: 1.80
Abstract provided by Publisher
We present a case report of a 16-year-old patient who suffered multisite and multiorgan injuries following a road accident. The most prominent musculoskeletal problem was a bilateral crush injury of the crus in combination with open fractures.
The aim of this study is to present the possibilities and available methods of treatment of patients with extensive posttraumatic and postinflammatory bone loss of the lower limbs that make it possible to avoid amputation.
We used intramedullary nailing and internal bone transport to reconstruct continuity and leg length of both crus bones. The treatment was complicated by poor vascularity and emerging complications.
After several months and multi-stage treatment the patient was able to walk with full weight-bearing without crutches. Importantly, the patient is satisfied with the outcome of the treatment and does not consider herself disabled.
The study presents our approach to the dilemma of choosing between prolonged reconstruction surgery and amputation as a final method. Such a discussion seems to be helpful in the everyday practice of paediatric surgeons and orthopaedists who deal with similar cases.