JBJS | Tetrafocal Bone Transport of the Tibia with Circular External Fixation: A Case Report

The Journal of Bone & Joint Surgery, Volume 92, Issue 1

Case Reports | January 01, 2010

Tetrafocal Bone Transport of the Tibia with Circular External Fixation: A Case Report

Francesco Guerreschi, MD¹; Wael Azzam, MD²; Marco Camagni, MD³; Luigi Lovisetti, MD⁴; Maurizio A. Catagni, MD⁵

¹ Via Pergolesi 11, 23801 Calolziocorte (LC), Italy. E-mail address: f.guerreschi@alice.it
² Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Tanta University, Tanta, Egypt
³ Via Nove Febbraio 33, 23900 Lecco, Italy
⁴ Via Salita dei Cappuccini 29, 22100 Como, Italy
⁵ Via Carlo Cattaneo 42/H, 23900 Lecco, Italy

The Journal of Bone & Joint Surgery. 2010; 92:190-195 doi:10.2106/JBJS.H.01109

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Extract

Most open fractures associated with motor-vehicle accidents are severe, and 65% to 75% of all open tibial fractures that result from motor-vehicle accidents are Gustilo type III in severity¹. The exposed location of the tibia in motorcyclists was confirmed by Zettas et al., who reported that the tibia was the bone most frequently fractured during motorcycle accidents and that 19.2% of all motorcycle-related fractures were of the tibia². The treatment of bone defects in this clinical setting can be very challenging³.

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Topics

tibia ; external fixation devices ; osteotomy

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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