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The Journal of Bone and Joint Surgery 82:101-4 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Distraction of Hypertrophic Callus in the Treatment of Segmental Bone Loss in the Femur. A Case Report*

MICHAEL J. RASCHKE, M.D.{dagger}, KATRIN STOSCH-WIECHERT, M.D.{dagger}, ANDREAS WEILER, M.D.{dagger}, CYRUS KHODADADYAN, M.D.{dagger} and NORBERT P. HAAS, M.D.{dagger}, BERLIN, GERMANY

Investigation performed at Unfall- und Wiederherstellungschirurgie, Medizinische Fakultät Charité, Berlin


   Introduction
 
The treatment of a comminuted open fracture of the lower extremity caused by high-energy trauma often requires serial débridements and preliminary external fixation before open reduction and internal fixation and wound closure10. The prevalence of complications, including delayed fracture-healing, nonunion, and deep infection, has stimulated interest in the use of the Ilizarov ring fixator, with initial shortening and early wound closure followed by a corticotomy and segmental bone transport for restoration of limb length11. The disadvantages of stabilization with a ring fixator and subsequent segmental bone transport include a high rate of delayed union or nonunion at the docking site, pin-loosening, pin-track infection, and the pain and inconvenience that are associated with the long treatment period7,12.

We report the case of a patient who had a comminuted fracture of the distal part of the femur that was associated with a large osseous defect, hypertrophic callus formation, and . . . [Full Text of this Article]


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