| Acute Shortening and Gradual Lengthening for a Comminuted Tibia Fracture with Massive Bone and Soft Tissue Defect: Case Report |
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Ho Sung Han, M.D., Jung Kyu Huh, M.D., Cheol Ho Song, M.D., Goo Hyun Baek, M.D., Young Ho Lee, M.D., Hyun Sik Gong, M.D. |
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Department of Orthopedic Surgery, College of Medicine, Seoul National University Bundang Hospital, Sungnam, Korea. hsgong@snu.ac.kr |
| 대량의 골 및 연부조직 결손을 동반한 분쇄 경골 골절에서의 급성 단축술과 점진적 연장술 - 증례 보고 - |
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| Abstract |
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Traditional management of comminuted tibia fractures with massive bone and soft tissue defect includes soft tissue coverage and bone grafting. However, this method requires a large flap and a substantial amount of bone graft. Acute shortening can reduce the amount of required soft tissue and bone graft. We report a case of open tibia and fibula fracture with severe bone and soft tissue defect that was successfully treated by acute shortening of the tibia with immediate fibular strut bone graft and then by gradual lengthening of the tibia at its proximal metaphysis. |
| Key Words:
Comminuted tibia fracture, Soft tissue defect, Acute shortening, Gradual lengthening |
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