Paediatric infected non-union of an open femoral diaphyseal fracture: the role of temporary locking plate and bone graft substitute
Chronic osteomyelitis is a complication of open fractures in children especially in rural areas. It is difficult to treat, and it may lead to infected non-union. We present a case of an open fracture Gustillo-Anderson grade IIIa complicated with chronic osteomyelitis. He presented with non-union six...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Crimson Publishers
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/64153/ http://irep.iium.edu.my/64153/ http://irep.iium.edu.my/64153/ http://irep.iium.edu.my/64153/1/64153_Paediatric%20Infected%20Non-union.pdf |
| Summary: | Chronic osteomyelitis is a complication of open fractures in children especially in rural areas. It is difficult to treat, and it may lead to infected non-union. We present a case of an open fracture Gustillo-Anderson grade IIIa complicated with chronic osteomyelitis. He presented with non-union six months post-trauma after the initial surgical debridement and bone resection. He was subsequently treated successfully with a temporary 3.5mm locking plate and synthetic bone graft. A temporary locking plate can stabilize the fracture site and provide additional advantage in terms of wound management and earlier joint motion in comparison with external fixation and cast. |
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