Abstract
A 53 year old male presented with a tibial nonunion with a varus deformity of 16° and 2.2 cm shortening of the tibia. The nonunion site (3.1 cm bone segment) was resected until vital bone was reached. The proximal tibia and the fibula were osteotomized. A custom-made tibial nail with the ability to do initial bone transport and subsequent bone lengthening was inserted. At 4 weeks after surgery, bone morphogenetic protein (BMP-7) was administered to the docking site. At the latest follow-up, 18 months after nail insertion and 3 months after nail removal, the patient did not have any pain or restrictions in daily activities. There was no leg length discrepancy and the tibia had a 3° varus deformity.
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Reference and Suggested Reading
Kold S, Christensen KS (2013) Bone transport of the tibia with a motorized intramedullary lengthening nail – a case report. Acta Orthop. 2014; 85(2):211–213
Rozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S (2008) Repair of tibial non-unions and bone defects with the Taylor Spatial Frame. J Orthop Trauma 22(2):88–95
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© 2015 Springer International Publishing Switzerland
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Kold, S. (2015). Case 55: Motorized Intramedullary Transport and Lengthening Nail Used to Reconstruct a Nonunion/Bone Defect of the Tibia. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_231
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DOI: https://doi.org/10.1007/978-3-319-18020-5_231
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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