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KMID : 0603120110200010068
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Journal of the Korean Microsurgical Society
2011 Volume.20 No. 1 p.68 ~ p.73
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Acute Shortening and Gradual Lengthening for a Comminuted Tibia Fracture with Massive Bone and Soft Tissue Defect - Case Report -
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Han Ho-Sung
Huh Jung-Kyu
Song Cheol-Ho
Baek Goo-Hyun
Lee Young-Ho
Gong Hyun-Sik
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Abstract
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Traditional management of comminuted tibia fractures with massive bone and soft tissue defect includes soft tissue coverage and bone grafting. However, this method requires a large flap and a substantial amount of bone graft. Acute shortening can reduce the amount of required soft tissue and bone graft. We report a case of open tibia and fibula fracture with severe bone and soft tissue defect that was successfully treated by acute shortening of the tibia with immediate fibular strut bone graft and then by gradual lengthening of the tibia at its proximal metaphysis.
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KEYWORD
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Comminuted tibia fracture, Soft tissue defect, Acute shortening, Gradual lengthening
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