Abstract
This case reports a 49 year old female who was involved in a high-speed motor vehicle accident. She suffered a limb threatening type IIIC open distal tibia fracture with circumferential skin and muscle loss. She had exposed neurovascular structures. She was managed with limb salvage of aggressive surgical debridement, bony stabilization with a circular fixator, and early soft tissue coverage. Residual limb length discrepancy was addressed with staged proximal tibial osteoplasty.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References and Suggested Reading
Busse JW, Jacobs CL, Swiontkowski MF, Bosse MJ, Bhandari M, Evidence-Based Orthopaedic Trauma Working Group (2007) Complex limb salvage or early amputation for severe lower-limb injury: a meta-analysis of observational studies. J Orthop Trauma 21:70–76
Choudry U, Moran S, Karacor Z (2008) Soft-tissue coverage and outcome of Gustilo grade IIIB midshaft tibia fractures: a 15-year experience. Plast Reconstr Surg 122:479–485
Hutson JJ Jr, Dayicioglu D, Oeltjen JC, Panthaki ZJ, Armstrong MB (2010) The treatment of Gustilo grade IIIB tibia fractures with application of antibiotic spacer, flap, and sequential distraction osteogenesis. Ann Plast Surg 64:541–552
Lowenberg DW, Feibel RJ, Louie KW, Eshima I (1996) Combined muscle flap and Ilizarov reconstruction for bone and soft tissue defects. Clin Orthop Relat Res 332:37–51
McKee MD, Yoo DJ, Zdero R, Dupere M, Wild L, Schemitsch EH, Mahoney J (2008) Combined single-stage osseous and soft tissue reconstruction of the tibia with the Ilizarov method and tissue transfer. J Orthop Trauma 22:183–189
Nho SJ, Helfet DL, Rozbruch SR (2006) Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame. J Orthop Trauma 20:419–424
Rozbruch SR, Weitzman AM, Watson JT, Freudigman P, Katz HV, Ilizarov S (2006) Simultaneous treatment of tibial bone and soft-tissue defects with the Ilizarov method. J Orthop Trauma 20:197–205
Tsuchiya H, Tomita K, Minematsu K, Mori Y, Asada N, Kitano S (1997) Limb salvage using distraction osteogenesis. A classification of the technique. J Bone Joint Surg 79(B):403–411
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this entry
Cite this entry
Mora Herrera, L.G. (2015). Case 24: Ilizarov Method Extremity Solution for Severe Damage. Obtain Bone and Soft Tissues Stability. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18026-7_157
Download citation
DOI: https://doi.org/10.1007/978-3-319-18026-7_157
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18025-0
Online ISBN: 978-3-319-18026-7
eBook Packages: MedicineReference Module Medicine