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KMID : 0386420110240020178
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Journal of the Korean Fracture Society
2011 Volume.24 No. 2 p.178 ~ p.184
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Thermal Injury Complicating Improperly Reamed Intramedullary Nailing of the Tibia ? A Case Report ?
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Kim Bo-Kun
Shin Hyun-Dae
Hwnag Jung-Mo
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Abstract
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Endosteum and bone marrow thermal necrosis caused by reaming during tibial intramedullary nail insertion, and unskilled operation of soft tissue penestration by reamer resulted in chronic osteomyelitis and soft tissue defect. So, several times of free flaps were done but the result was unsuccessful. At last, the authors performed radical necrotic bone resection and internal bone transport using Ilizarov external fixator. The authors report case with literature review.
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KEYWORD
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Tibia, Thermal necrosis, Reaming, Ilizarov, Internal bone transport
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