+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Treatment of open tibial fracture with bone defect caused by high velocity missiles: a case report

Treatment of open tibial fracture with bone defect caused by high velocity missiles: a case report

Srpski Arhiv Za Celokupno Lekarstvo 141(9-10): 693-697

Tibia fracture caused by high velocity missiles is mostly comminuted and followed by bone defect which makes their healing process extremely difficult and prone to numerous complications. A 34-year-old male was wounded at close range by a semi-automatic gun missile. He was wounded in the distal area of the left tibia and suffered a massive defect of the bone and soft tissue. After the primary treatment of the wound, the fracture was stabilized with an external fixator type Mitkovic, with convergent orientation of the pins. The wound in the medial region of the tibia was closed with the secondary stitch, whereas the wound in the lateral area was closed with the skin transplant after Thiersch. Due to massive bone defect in the area of the rifle-missile wound six months after injury, a medical team placed a reconstructive external skeletal fixator type Mitkovic and performed corticotomy in the proximal metaphyseal area of the tibia. By the method of bone transport (distractive osteogenesis), the bone defect of the tibia was replaced. After the fracture healing seven months from the secondary surgery, the fixator was removed and the patient was referred to physical therapy. Surgical treatment of wounds, external fixation, performing necessary debridement, adequate antibiotic treatment and soft and bone tissue reconstruction are essential in achieving good results in patients with the open tibial fracture with bone defect caused by high velocity missiles. Reconstruction of bone defect can be successfully treated by reconstructive external fixator Mitkovic.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 056676675

Download citation: RISBibTeXText

PMID: 24364237

Related references

Treatment of open tibial shaft fracture with soft tissue and bone defect caused by aircraft bomb--case report. Srpski Arhiv Za Celokupno Lekarstvo 138(7-8): 510-514, 2010

Distally based sural island flap for the reconstruction of a large soft tissue defect in an open tibial fracture with occluded anterior and posterior tibial arteries-a case report. British Journal of Plastic Surgery 58(1): 112-115, 2005

Open fractures caused by high velocity missiles: the outcome of treatment of 39 fractures followed for 1-3 years. Jpma. Journal of the Pakistan Medical Association 47(11): 274-278, 1997

Tibial Tuberosity Avulsion Fracture and Open Proximal Tibial Fracture in an Adult: A Case Report and Literature Review. Medicine 94(39): E1684-0, 2015

Treatment of soft tissue injuries caused by high velocity missiles. Harefuah 88(7): 311-315, 1975

Primary tibiofibular synostosis in open tibial fracture with segmental bone loss. A report of an unusual case. Journal of Bone and Joint Surgery. American Volume 55(7): 1521-1524, 1973

Salvage of open tibial fracture with segmental loss of tibial nerve: case report and review of the literature. Journal of Orthopaedic Trauma 13(5): 380-385, 1999

Bone transport combined with free flap reconstruction and antibiotic bead spacers for a type IIIB open tibial fracture: case report. Journal of Trauma 44(6): 1103-1107, 1998

Significance of fracture form and bone necrosis for the treatment of open tibial fracture. Zentralblatt für Chirurgie 110(12): 729-738, 1985

One-stage treatment of open tibial fracture in a child using a distally based sural artery flap: a case report. Journal of Orthopaedic Trauma 15(8): 578-580, 2001

Reconstruction of a post-traumatic infected bone defect of an open diaphyseal femur fracture by double LISS fixation: a case report. Journal of Trauma 62(5): 1272-1276, 2007

The locking compression plate as an external fixator for bone transport in the treatment of a large distal tibial defect: a case report. Injury 38(11): 1318-1325, 2007

Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: a case report. Srpski Arhiv Za Celokupno Lekarstvo 140(7-8): 515-520, 2012

Pathology of injuries caused by high-velocity missiles. Clinics in Laboratory Medicine 3(2): 273-294, 1983

External fixation in the treatment of shooting proximal humeral fracture with bone defect: a case report. Srpski Arhiv Za Celokupno Lekarstvo 139(5-6): 370-375, 2011