Bone Abstracts

Introduction: Using the autograft bones in treatment orthopaedic diseases and trauma is common. However, cases of the large bone fragments autoplasty in acute trauma is rare. We have studied the case of succesfull autoplasty of the large tibial fragment in severe road accident.

Materials and methods: Child O., born in 2000, was delivered to the emergency room of Mogilev City Hospital after road accident (he was hit by a car while crossing the street). His condition was serious. Besides other damage he had open fractures of the tibial and fibular bones in the lower-medial third with large defect of the tibia. Fragment of the tibia about 15 cm in length was found on the street by a driver and was delivered to the hospital. Debridment of the open fracture, tibial fragment autoplasty and ostheosyntesis with Ilizarov system were performed. Wound healed by secondary intention with partial marginal necrosis. Intensive antibioticotherapy was performed. The patient was discharged for outpatient treatment after 1 month. Ilizarov system was removed 4.5 months after trauma.

Results and discussion.: Patient has been examined 2 years after trauma. He has no complaints, gait is correct, no limping. Legs are the same length, no deformations. Slightly hypertrophic scar is on the anterior surface of the shin. Complete fracture healing, distal tibial physis closure and synostosis of the distal tibial and fibular bones are on the radiographs. Dystal tibial physis closure is on the opposite side.

Significance: This case shows the possibility of bone structure and extremities functions full recovering in severe trauma, which is accompanied by extensive soft tissue and large bone defects.

Disclosure: The authors declared no competing interests.