Shanmuganathan Rajasekaran, Chandra Mohan Arun Kamal, Agraharam Devendra, Perumal Ramesh, Jayaramaraju Dheenadhayalan, Kulkarni Sunil
Chairman, Ganga Hospital, 313 Mettupalayam Road, Coimbatore 641043, India(2).
Ganga Hospital, Coimbatore, India.
Injury. 2015 Jul;46(7):1389-92. doi: 10.1016/j.injury.2015.04.006. Epub 2015 Apr 20.
Extruded bone segments are rare complication of high energy open fractures. Routinely these fractures are treated by debridement followed by bone loss management in the form of either bone transport or free fibula transfer. There are very few reports in the literature about reimplantation of extruded segments of bone and there are no clear guidelines regarding timing of reimplantation, bone stabilisation and sterilisation techniques. Reimplantation of extruded bone is a risky procedure due to high chances of infection which determines the final outcome and can result in secondary amputations. We present two cases of successful reimplantation of extruded diaphyseal segment of femur and one case of reimplantation of extruded segment of tibia.
骨段挤出是高能开放性骨折的罕见并发症。通常这些骨折通过清创术治疗，随后以骨搬运或游离腓骨移植的形式进行骨缺损处理。文献中关于挤出骨段再植入的报道极少，且对于再植入的时机、骨固定和消毒技术尚无明确指南。由于感染几率高，挤出骨再植入是一项有风险的手术，感染决定最终结果，可能导致二次截肢。我们报告两例成功再植入股骨骨干挤出段的病例和一例成功再植入胫骨挤出段的病例。
