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Revista de la Asociación Argentina de Ortopedia y Traumatología
On-line version ISSN 1852-7434
Abstract
SANZANA, Edgardo S; MONTOYA, Fredy C; LOPEZ-CARCEL, Gemma and KORYZMA, Beatriz A. Osteogénesis por distracción en seudoartrosis infectada de fémur: Caso clínico. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2017, vol.82, n.4, pp.306-311. ISSN 1852-7434.
We report a case of infected nonunion secondary to a type IIIC open femoral fracture, treated by distraction osteogenesis. A 32-year-old man with a gunshot open fracture of the distal right femur with arterial injury. Surgical debridement, external fixation and arterial repair are performed as emergency procedure. The patient develops a femoral infected nonunion, so 24 months later a wide resection is performed leaving a 12 cm bone defect that is regenerated by distraction osteogenesis. Distraction osteogenesis is a useful procedure for the repair and consolidation of several bone defects. It requires patient´s commitment to a demanding therapeutic process.
Keywords : Distraction osteogenesis; Bone transport; Bone lengthening.