Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture by Steven...

Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture

by Steven J. Morgan, Justin Newman, Kagan Ozer, Wade Smith, and Raffi Gurunluoglu

J Bone Joint Surg AmVolume 89(12):2769-2778

December 1, 2007

©2007 by The Journal of Bone and Joint Surgery, Inc.

Clinical photograph depicting the status of the soft tissues and associated muscle loss following the initial débridement of the type-IIIB open tibial fracture.

Steven J. Morgan et al. J Bone Joint Surg Am 2007;89:2769-2778


Anteroposterior radiograph, made following débridement of avascular bone and application of a unilateral external fixator, showing approximately 17 cm of bone loss from the tibial tubercle to

the distal tibial diaphysis.



Figs. 3-A through 3-D Line drawings illustrating surgical progression and technique.



Fig. 3-B The appearance of the leg just prior to the turn-back procedure.



Fig. 3-C As the flap is turned back, the decorticated distalmost aspect of the tibia (the plafond) rotates with the flap.



Fig. 3-D The distalmost aspect of the tibia has been impacted into the metaphyseal portion of the tibia.



The condition and appearance of the soft tissues at the completion of the procedure.



Clinical photograph of the residual extremity following extensive rehabilitation, demonstrating full extension of the limb from a lateral perspective.



Clinical photograph demonstrating the functional result obtained with the patient wearing the prosthesis.



Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture by Steven...

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