| Popis: |
Introduction: Fibular grafts have been well reported for treating various conditions with bony defects because there is cortical bone, and it has excellent strength and potential forremodeling. Here, we reported using a fibular graft for a patient with an open fracture middle shafttibia fibula grade IIIB with a bone defect. Presentation of Case: Our patient was male, 25 years old,and complained of deformity with no pain in his right lower leg. Historically, he had a motorcycleaccident and was diagnosed with an open fracture of the middle shaft tibia and fibula grade IIIB withperoneal nerve injury. Physical examination revealed a right lower leg deformity with a drop footsign. The plain radiographic evaluation of the right lower leg showed an intramedullary nail in thetibia, plate, and screw on the fibula, with a large bone defect on the tibia. The application of a fibulargraft to cover the bone defect was performed with the goal was to improving the lower leg's function.On one month follow-up, we observed improvement in the right lower leg's function with full rightknee's range of motion. The patient had good overall condition and was satisfied with the outcome ofthe surgery. Conclusion: Fibular graft application provided satisfactory results in our patient with alarge tibial bone defect. |
