Strategies in Trauma and Limb Reconstruction

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VOLUME 17 , ISSUE 3 ( September-December, 2022 ) > List of Articles

CASE REPORT

Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients

Shuhei Ugaji, Hidenori Matsubara, Takao Aikawa, Hiroyuki Tsuchiya

Keywords : Bone defect, External fixator, Infection, Taylor Spatial Frame, Tibia

Citation Information : Ugaji S, Matsubara H, Aikawa T, Tsuchiya H. Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients. 2022; 17 (3):195-201.

DOI: 10.5005/jp-journals-10080-1567

License: CC BY-NC-SA 4.0

Published Online: 30-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: This study describes the intentional deformation and shortening of a limb using external fixation (EF) in three patients with post-traumatic injury tibial defects and to assess the outcomes. Case description: Three patients with infected non-unions and massive bone and soft tissue defects who were treated with temporary intentional leg shortening and deformation using a Taylor Spatial Frame (TSF) EF were retrospectively reviewed. The alignment was restored by gradual deformity correction and lengthening after a 2-week interval. No additional surgical intervention was required for soft tissue reconstruction after primary skin closure. Skin closure and good bone alignment were achieved in all patients. The functional outcomes and bone outcomes were evaluated for all cases according to the Paley criteria modified by the Association for the Study and Application of Methods of Ilizarov. All patients showed excellent bone outcomes. Two patients achieved excellent functional outcomes and one had a good outcome. The patient with a good outcome was unable to descend the stairs comfortably. Conclusion: This technique is suitable for treating massive bone and soft tissue defects and should be considered as a treatment option.


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