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Acute Shortening and Then Lengthening for Type IIIB Open Adolescent Tibia and Fibula Shaft Fractures with Segmental Tissue Loss

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Limb Lengthening and Reconstruction Surgery Case Atlas

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Abstract

A 13-year-old boy had type IIIB open tibia and fibula fractures with segmental anterior compartment tissue loss. He underwent an initial damage control strategy with debridement, irrigation, external fixation, and negative-pressure wound therapy. He then underwent two-stage reconstruction. Initial stage involved anatomic fixation of the tibia, excision of 5 cm nonviable bone, and primary repair of the anterior compartment musculature and skin. Second stage involved lengthening 5 cm through a proximal corticotomy to restore length.

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References and Suggested Reading

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Author information

Authors and Affiliations

  1. Department of Orthopaedics & Rehabilitation, Yale School of Medicine, New Haven, CT, USA

    David B. Frumberg

Authors
  1. David B. Frumberg
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Correspondence to David B. Frumberg .

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Editors and Affiliations

  1. Hospital for Special Surgery, New York, NY, USA

    S. Robert Rozbruch

  2. Shriner's Hospital for Children, Montreal, QC, Canada

    Reggie Hamdy

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Frumberg, D.B. (2023). Acute Shortening and Then Lengthening for Type IIIB Open Adolescent Tibia and Fibula Shaft Fractures with Segmental Tissue Loss. In: Rozbruch, S.R., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-02767-8_459-1

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  • DOI: https://doi.org/10.1007/978-3-319-02767-8_459-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-02767-8

  • Online ISBN: 978-3-319-02767-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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