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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 87-91

Docking site augmentation followed by Ilizarov's distraction osteogenesis


1 Department of Orthopedics, National Medical College Teaching Hospital, Birgunj, Nepal
2 Department of Orthopedics, Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Correspondence Address:
Mohammad Ruhullah
Department of Orthopaedics, National Medical College Teaching Hospital, Birgunj
Nepal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-7341.118751

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Open fractures of the tibia/fibula are common in renal tubular acidosis patients and may be fraught with complications such as malunion, delayed union, non-union, infection, deformity, bone loss and dead and necrotic bones. The Ilizarov method, as originally described for lengthening, treatment of non-union and bone transport, does not involve the use of bone-grafting at the docking site to aid rapid healing. The most common complication is non-union of the docking site. In this report, we present a case of 18-year-old man with open fracture tibia/fibula treated initially with unilateral external fixation and followed by Ilizarov's distraction osteogenesis technique for skeletal defect created after adequate debridement and resection of the necrotic bone as a result of open fracture. We aimed to demonstrate the success of docking site augmentation of iliac crest cancellous bone graft has been shown to rapid consolidation, decrease the rate of non-union and decrease the time of prolonged fixator use with respect to patient compliance managing complex frame adjustments.


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