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Patient Case History: Marcelle

Bone Transport for Infected Tibia Nonunion with Large Bone Defect

Pre-Op

Patient Surgeon: S. Robert Rozbruch
55-year-old woman had a tibia fracture. Other doctors used a rod but the bone did not heal and the rod broke. A large 10 cm segment of bone was infected and dead and required removal.

Marcelle, Pre-op thumbnail of an X-ray, Limb Lengthening, infected tibia nonunion
Marcelle, Pre-op thumbnail of an X-ray, Limb Lengthening, infected tibia nonunion

Post-Op

As an alternative to amputation, bone transport from both end of the tibia was started (Trifocal technique) to regenerate the large missing segment of tibia bone. Gradually, the bone defect is filled with regenerated bone. Watch animation of procedure.

Marcelle, Post-op thumbnail of an X-ray, Limb Lengthening, trifocal techinque, bone transport, alternative to amputation, tibia
Marcelle, Post-op thumbnail Image, Limb Lengthening, trifocal techinque, bone transport, alternative to amputation, tibia
Marcelle, Post-op thumbnail Image, Limb Lengthening, trifocal techinque, bone transport, alternative to amputation, tibia
Marcelle, Post-op thumbnail of an X-ray, Limb Lengthening, trifocal techinque, bone transport, alternative to amputation, tibia
Marcelle, Post-op thumbnail of an X-ray, Limb Lengthening, trifocal techinque, bone transport, alternative to amputation, tibia

Follow-Up

The tibia is healed (2 lengthening and 1 docking sites) after reinsertion of an intramedullary nail.

Marcelle, Follow up thumbnail Image, Limb Lengthening, tibia healed, Bone Transport
Marcelle, Follow up thumbnail Image, Limb Lengthening, tibia healed, Bone Transport
Marcelle, Follow up thumbnail of an x-ray, Limb Lengthening, tibia healed, Bone Transport
Marcelle, Follow up thumbnail of an x-ray, Limb Lengthening, tibia healed, Bone Transport

 

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