• Injury · Jul 2015

    Case Reports

    Successful reimplantation of extruded long bone segments in open fractures of lower limb - A report of 3 cases.

    • Rajasekaran Shanmuganathan, Arun Kamal Chandra Mohan, Devendra Agraharam, Ramesh Perumal, Dheenadhayalan Jayaramaraju, and Sunil Kulkarni.
    • Chairman, Ganga Hospital, 313 Mettupalayam Road, Coimbatore 641043, India(2). Electronic address: rajasekaran.orth@gmail.com.
    • Injury. 2015 Jul 1; 46 (7): 1389-92.

    AbstractExtruded bone segments are rare complication of high energy open fractures. Routinely these fractures are treated by debridement followed by bone loss management in the form of either bone transport or free fibula transfer. There are very few reports in the literature about reimplantation of extruded segments of bone and there are no clear guidelines regarding timing of reimplantation, bone stabilisation and sterilisation techniques. Reimplantation of extruded bone is a risky procedure due to high chances of infection which determines the final outcome and can result in secondary amputations. We present two cases of successful reimplantation of extruded diaphyseal segment of femur and one case of reimplantation of extruded segment of tibia.Copyright © 2015 Elsevier Ltd. All rights reserved.

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