Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
JBJS Case Connect. 2023 Jan 12;13(1). doi: e22.00397. eCollection 2023 Jan 1.
A 14-year-old adolescent girl sustained an open fracture of the foot after jumping off a building. Initial radiographs revealed large bone defect in the distal metaphysis of the comminuted tibia. The comminuted distal tibia was reconstructed by external fixation and internal fixation with bridge plating, followed by the Masquelet technique. After 12 months, the fracture healed without infection, and the patient could walk independently.
In the case of a comminuted fracture of the contaminated distal tibia with a large bone defect, plate fixation and the Masquelet technique produced good outcomes.
一名 14 岁少女从建筑物上跳下后足部发生开放性骨折。初始 X 线片显示粉碎性胫骨远端干骺端有大的骨缺损。采用外固定架和桥接钢板内固定重建粉碎性远端胫骨，随后采用 Masquelet 技术。12 个月后，骨折愈合，无感染，患者可独立行走。
对于污染的伴有大骨缺损的粉碎性胫骨远端骨折，钢板固定和 Masquelet 技术可获得良好的效果。
