Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer
Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of...
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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2017/9672126 |
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author | Konstantinos Ditsios Eirini Iosifidou Lazaros Kostretzis Panagiotis Konstantinou Iosafat Pinto Ioannis Theodoroudis Ippokratis Hatzokos |
author_facet | Konstantinos Ditsios Eirini Iosifidou Lazaros Kostretzis Panagiotis Konstantinou Iosafat Pinto Ioannis Theodoroudis Ippokratis Hatzokos |
author_sort | Konstantinos Ditsios |
collection | DOAJ |
description | Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers. |
format | Article |
id | doaj-art-46d1d944c4b94a6ca1ad16b531909de0 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-46d1d944c4b94a6ca1ad16b531909de02025-02-03T05:43:41ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/96721269672126Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon TransferKonstantinos Ditsios0Eirini Iosifidou1Lazaros Kostretzis2Panagiotis Konstantinou3Iosafat Pinto4Ioannis Theodoroudis5Ippokratis Hatzokos6First Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment in Orthopaedics and Trauma Surgery, Agios Pavlos General Hospital, Thessaloniki, GreeceFirst Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceFirst Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceFirst Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceFirst Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceSecond Department in Orthopaedics and Trauma Surgery, G. Gennimatas General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceInfected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers.http://dx.doi.org/10.1155/2017/9672126 |
spellingShingle | Konstantinos Ditsios Eirini Iosifidou Lazaros Kostretzis Panagiotis Konstantinou Iosafat Pinto Ioannis Theodoroudis Ippokratis Hatzokos Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer Case Reports in Orthopedics |
title | Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer |
title_full | Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer |
title_fullStr | Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer |
title_full_unstemmed | Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer |
title_short | Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer |
title_sort | combined bone transportation and lengthening techniques for the treatment of septic nonunion of the forearm followed by tendon transfer |
url | http://dx.doi.org/10.1155/2017/9672126 |
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