An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate
Traumatic bone defects (TBDs), although rare in children, are severe injuries that often represents a challenge for both orthopaedic and trauma surgeons. We present a case of a 6-year-old girl who sustained an open (Gustilo-Anderson type II) comminuted tibia fracture including a ± 5.0 cm distal tibi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001917 |
| _version_ | 1827596408443633664 |
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| author | Lotje A. Hoogervorst Bart W. Oudelaar Demien Broekhuis |
| author_facet | Lotje A. Hoogervorst Bart W. Oudelaar Demien Broekhuis |
| author_sort | Lotje A. Hoogervorst |
| collection | DOAJ |
| description | Traumatic bone defects (TBDs), although rare in children, are severe injuries that often represents a challenge for both orthopaedic and trauma surgeons. We present a case of a 6-year-old girl who sustained an open (Gustilo-Anderson type II) comminuted tibia fracture including a ± 5.0 cm distal tibial TBD following a road traffic accident. Open reduction and internal fixation with a 3.5 Locking Compression Plate (LCP) without additional bone grafting was performed, followed by cast immobilization for four months. One and a half years after reconstruction, the patient regained pain-free activity including full-range of motion of her leg and radiographs showed good tibial and fibular alignment, the presence of fracture consolidation and sufficient filling of the TBD. This case report aims to show first evidence of the safety and efficacy of single LCP plating followed by cast immobilization applied in a paediatric patient with a large tibial TBD. |
| first_indexed | 2024-03-09T03:09:13Z |
| format | Article |
| id | doaj.art-a065ab7b7a0c4ed3a0d3c59d1e74e8c2 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:13Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-a065ab7b7a0c4ed3a0d3c59d1e74e8c22023-12-04T05:23:16ZengElsevierTrauma Case Reports2352-64402023-12-0148100944An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plateLotje A. Hoogervorst0Bart W. Oudelaar1Demien Broekhuis2Department of Orthopaedics, Leiden University Medical Center, Leiden, the Netherlands; Department of Biomedical Data Science and Medical Decision Making, Leiden University Medical Center, Leiden, the Netherlands; Corresponding author at: Department of Orthopaedics and Biomedical Data Sciences, Medical Decision Making, J10, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the Netherlands.Department of Orthopaedics, Leiden University Medical Center, Leiden, the NetherlandsDepartment of Orthopaedics, Leiden University Medical Center, Leiden, the NetherlandsTraumatic bone defects (TBDs), although rare in children, are severe injuries that often represents a challenge for both orthopaedic and trauma surgeons. We present a case of a 6-year-old girl who sustained an open (Gustilo-Anderson type II) comminuted tibia fracture including a ± 5.0 cm distal tibial TBD following a road traffic accident. Open reduction and internal fixation with a 3.5 Locking Compression Plate (LCP) without additional bone grafting was performed, followed by cast immobilization for four months. One and a half years after reconstruction, the patient regained pain-free activity including full-range of motion of her leg and radiographs showed good tibial and fibular alignment, the presence of fracture consolidation and sufficient filling of the TBD. This case report aims to show first evidence of the safety and efficacy of single LCP plating followed by cast immobilization applied in a paediatric patient with a large tibial TBD.http://www.sciencedirect.com/science/article/pii/S2352644023001917PaediatricTraumatic bone defectsSurgical managementLocking compression plateBone grafting |
| spellingShingle | Lotje A. Hoogervorst Bart W. Oudelaar Demien Broekhuis An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate Trauma Case Reports Paediatric Traumatic bone defects Surgical management Locking compression plate Bone grafting |
| title | An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate |
| title_full | An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate |
| title_fullStr | An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate |
| title_full_unstemmed | An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate |
| title_short | An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate |
| title_sort | open comminuted tibia fracture including a 5 cm tibial bone defect in a child successful management using a locking compression plate |
| topic | Paediatric Traumatic bone defects Surgical management Locking compression plate Bone grafting |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001917 |
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