Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review
Abstract Background We present a case of an immense unprecedented tibial bone lengthening of 33.5 cm. The management of chronic osteomyelitis of the right tibia with subtotal tibial bone defect, talus defect and equinus ankle deformity. We demonstrate limb reconstruction by distraction osteogenesis...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-021-03950-1 |
| _version_ | 1818331266231042048 |
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| author | Abdulnassir Ali Ying Ren Chun-Hao Zhou Jia Fang Cheng-He Qin |
| author_facet | Abdulnassir Ali Ying Ren Chun-Hao Zhou Jia Fang Cheng-He Qin |
| author_sort | Abdulnassir Ali |
| collection | DOAJ |
| description | Abstract Background We present a case of an immense unprecedented tibial bone lengthening of 33.5 cm. The management of chronic osteomyelitis of the right tibia with subtotal tibial bone defect, talus defect and equinus ankle deformity. We demonstrate limb reconstruction by distraction osteogenesis and correction of ankle deformity with the Ilizarov technique. Limb salvage was preferred as an alternative to amputation to restore basic limb function. Case presentation A 16-year-old male patient fell and injured his right lower leg. He attempted to treat the symptoms with traditional home remedies. During 15 months of self-treating, he developed osteomyelitis of the right tibia and had lost function in his foot. Radiology revealed immense bone defect of the right tibia, including talus bone defect and equinus deformity of the calcaneus. The patient’s right tibia was non weight-bearing, had drainage sinus just below his knee and a large scar anteriorly along the entire length of the tibia. Conclusion Upon completion of treatment, the patient was able to avoid amputation of his leg with partially restored function for weight-bearing. He carried himself without assistance after 3 years of lost function in his right leg. Tibial bone distraction osteogenesis of 33.5 cm was done after 90% of the tibial length was defected. To the best of our best knowledge, this case is one of a kind to achieve distraction of tibial bone to such length. |
| first_indexed | 2024-12-13T13:17:07Z |
| format | Article |
| id | doaj.art-4becdcb6a5af4d978947a104ecf316cf |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-13T13:17:07Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-4becdcb6a5af4d978947a104ecf316cf2022-12-21T23:44:30ZengBMCBMC Musculoskeletal Disorders1471-24742021-01-012211910.1186/s12891-021-03950-1Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature reviewAbdulnassir Ali0Ying Ren1Chun-Hao Zhou2Jia Fang3Cheng-He Qin4Division of Orthopaedics and traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDepartment of Nursing, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedics and traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDepartment of Trauma & Orthopaedic Surgery, Guangdong second provincial general hospitalDepartment of Trauma & Orthopaedic Surgery, Guangdong second provincial general hospitalAbstract Background We present a case of an immense unprecedented tibial bone lengthening of 33.5 cm. The management of chronic osteomyelitis of the right tibia with subtotal tibial bone defect, talus defect and equinus ankle deformity. We demonstrate limb reconstruction by distraction osteogenesis and correction of ankle deformity with the Ilizarov technique. Limb salvage was preferred as an alternative to amputation to restore basic limb function. Case presentation A 16-year-old male patient fell and injured his right lower leg. He attempted to treat the symptoms with traditional home remedies. During 15 months of self-treating, he developed osteomyelitis of the right tibia and had lost function in his foot. Radiology revealed immense bone defect of the right tibia, including talus bone defect and equinus deformity of the calcaneus. The patient’s right tibia was non weight-bearing, had drainage sinus just below his knee and a large scar anteriorly along the entire length of the tibia. Conclusion Upon completion of treatment, the patient was able to avoid amputation of his leg with partially restored function for weight-bearing. He carried himself without assistance after 3 years of lost function in his right leg. Tibial bone distraction osteogenesis of 33.5 cm was done after 90% of the tibial length was defected. To the best of our best knowledge, this case is one of a kind to achieve distraction of tibial bone to such length.https://doi.org/10.1186/s12891-021-03950-1Bone defectOsteomyelitisDistraction osteogenesisIlizarov techniqueCase report |
| spellingShingle | Abdulnassir Ali Ying Ren Chun-Hao Zhou Jia Fang Cheng-He Qin Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review BMC Musculoskeletal Disorders Bone defect Osteomyelitis Distraction osteogenesis Ilizarov technique Case report |
| title | Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review |
| title_full | Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review |
| title_fullStr | Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review |
| title_full_unstemmed | Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review |
| title_short | Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review |
| title_sort | unprecedented tibial bone lengthening of 33 5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect a case report and literature review |
| topic | Bone defect Osteomyelitis Distraction osteogenesis Ilizarov technique Case report |
| url | https://doi.org/10.1186/s12891-021-03950-1 |
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