HEMICORTICOTOMY IN THE MANAGEMENT OF TRAUMATIC BONE LOSS OF TIBIA
Abstract
Distraction osteogenesis with Ilizarov technique has been described to fill bone defects in
traumatic bone loss. However, very little has been published regarding hemicorticotomy and hemi
tibia transport in trauma. We present a case report of management of massive bone loss of tibia
using hemicorticotomy and hemi tibia transport. Partial corticotomy was performed of the anterior
aspect of tibia adjacent to the healthy bone in distal tibia. The segment was internally transported
proximally till the gap was filled under supervision.Bony gap was filled with consolidated regenerate
over a period of 18 months from the time of injury.Hemicorticotomy with hemi tibia transport is an
effective way to bridge bony gaps resulting from traumatic bone loss. Compared to total segment
transfer, the time of healing is faster and external fixator can be removed earlier. Docking site
problems and soft tissue interposition can be avoided.
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