Artikel
Segmental bone transport using monorail technique in the forearm
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Veröffentlicht: | 26. April 2013 |
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Veröffentlicht mit Erratum: | 11. Juli 2013 |
Gliederung
Text
Management of post-traumatic infected large bone-loss could be surgically defying. The reconstruction of such defects requires infection free zone as well as stable and reliable fixation. The variety of reconstructive methods reflects the complexity in filling the gap. Distraction osteogenesis, autogenous or allogenous bone grafting,segmental bone transport, vascularised and non-vascularised bone transfers are all well-recognised methods of restorment. Most of the reported literature is focused on the lower extremities bone defects; Reports on upper limbbone loss are rare. In large bone defects, segmental bone transport technique is a favourable way of rebuildingsuch bone gaps, it carries less complication rate and technically easier to perform compared to microsurgicalreconstruction.We used the Monorail technique, a combination of an unreamed interlocking Intramedullary nail (Würzburger nail -TREU) and a unilateral external fixator (Wagner Apparatus), in transporting a bone segment to reconstruct a 7cmlong post-traumatic bone defect in a radius that was complicated with osteomyelitis. The outcome showed fullunion, with minimal forearm rotation impairment. To the best of our knowledge, using this technique inreconstructing forearm bone defects has not been reported before.
Figure 1 [Fig. 1].