Contralateral Structural Femoral Autograft Use in Treatment of an Open Periarticular Knee Fracture to Perform Knee Arthrodesis
| Autor: | John E. Tis, Melvin D. Helgeson, Andrew W. Mack |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Patellectomy Disarticulation medicine.medical_treatment Arthrodesis Knee Injuries Transplantation Autologous Amputation Surgical Blast injury law.invention Intramedullary rod law medicine Humans Orthopedics and Sports Medicine Femur Military Medicine Iraq War 2003-2011 Bone Transplantation business.industry Recovery of Function General Medicine Limb Salvage musculoskeletal system medicine.disease United States Surgery Military Personnel Treatment Outcome Amputation Orthopedic surgery Wounds and Injuries Radiology business |
| Zdroj: | Journal of Orthopaedic Trauma. 22:576-580 |
| ISSN: | 0890-5339 |
| Popis: | Combat-related blast injuries often cause devastating extremity trauma. We report a case of a 21-year-old male service member who sustained massive bilateral lower extremity trauma secondary to a blast injury. His orthopaedic injuries included a near traumatic disarticulation of the right knee and a left open type IIIB periarticular knee fracture with traumatic patellectomy, loss of the extensor mechanism, and segmental loss of the distal 11 cm of his femur. Definitive treatment of his injuries included a contralateral structural cortical femoral autograft which was implanted into the left knee segmental defect to facilitate knee fusion with an intramedullary knee fusion nail and a right transfemoral amputation. Radiographic evidence of solid fusion was obtained 8 months postoperatively. Currently, the patient is a community ambulator with the aid of his right lower extremity prosthetic limb and cane. |
| Databáze: | OpenAIRE |
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