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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
BUSTOS-MORA, R; BETANCOURT, CM; VALADEZ-SOTO, JM y FLORES-VILLALOBOS, A. Membrane induction and transposition of non-vascularized ipsilateral fibula in posttraumatic bone neoformation. Case report. Acta ortop. mex [online]. 2018, vol.32, n.6, pp.366-370. Epub 19-Mayo-2021. ISSN 2306-4102.
Objective:
To demonstrate the outcome of tibial bone neo formation, using induced-membrane technique and non-vascularized ipsolateral fibular graft transposition.
Case report:
A 25 years old male with a 2 years ago firearm injury in left leg, presenting an initial diagnosis of open fracture Gustilo IIIB AO 42C3 IO4NV1MT2 with a 7cm tibial diaphyseal bone defect. During his hospital evolution multiple interventions were made including surgical debridement and skin grafts placement, with unfavorable results. Therefore, we decided to use the induced-membrane technique and non-vascularized ipsolateral fibular graft transposition, resulting in a cane dependent ambulation, in 4 months evolution after last intervention.
Conclusion:
Induced-membrane technique and non-vascularized ipsolateral fibular graft transposition could be a successful alternative for the management of patients with severe bone loss.
Palabras llave : Induced-membrane; non-vascular fibular graft; bone defect.