Lower limb salvage with autoclaved autogenous tibial diaphysis: case report.
A massive crush injury of the lower extremity associated with avulsion of a 30-cm segment of the diaphysis of the tibia is reported. The patient refused consideration of amputation. Therefore, in this unique case, the noncomminuted fragment was autoclaved and replaced as a nonvascularized autogenous graft. Graft-host union was observed without complication, leading to full weight-bearing ambulation with a molded orthosis within 1 year of the injury.
Hallock
G G
GG
Division of Plastic Surgery, Lehigh Valley Hospital Center, Allentown, Pennsylvania 18103.
Sussman
D
D
Rhodes
M
M
D000328:Adult; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D013242:Sterilization / Q000379:methods*; D013977:Tibia / Q000293:injuries / Q000637:transplantation*; D013978:Tibial Fractures / Q000601:surgery*