Distal femur segmental gap reconstruction using ipsilateral amputated tibia in trauma setting - A case report

• Published in: Trauma case reports Vol. 48; p. 100973
• Main Authors: Acker, Asaf, Keltz, Eran, Fenyo, Amir, Perry, Zvi, Keren, Yaniv
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier 01-12-2023
• Subjects: Bone lose; Case Report; Open fracture; Segmental defect; Tibial structural autograft; Traumatic amputation; Traumatic amputation; Bone lose; Open fracture; Tibial structural autograft; Segmental defect
• ISSN: 2352-6440; 2352-6440
• DOI: 10.1016/j.tcr.2023.100973

A 32 year old patient who sustained an ipsilateral Gustilo Anderson 3C open fractures of the distal femur and tibia, following an MVA (Motor Vehicle Accident). The femoral shaft fracture had a 6 cm gap, which was spanned with a tibial diaphyseal autograft harvested from the amputated ipsilateral leg and stabilized with a retrograde intramedullary nail, thus enabling preservation of the knee joint and a functional weight bearing below knee prosthesis.
Distal femur segmental gap reconstruction using ipsilateral amputated tibia in trauma setting was shown to be a feasible surgical technique.