title: Simultaneous free-tissue transfer and Ilizarov distraction osteosynthesis in lower extremity salvage: case report and review of the literature.
abstract: The last decade has witnessed the refinement of microvascular tissue transplantation and its application in treating difficult open wounds. Nonetheless, severe type III tibial injuries continue to challenge reconstructive surgeons. The clinical presentation and surgical treatment of a type IIIB tibial fracture, complicated by long-standing chronic osteomyelitis, angulation deformity, and bone shortening, is presented. This case illustrates the benefit of combining microvascular transplantation of distant tissues with the Ilizarov technique of distraction osteosynthesis in the treatment of complicated lower extremity injuries.
authors.affiliation: Department of Surgery, University of Ottawa.
authors.forename: R J
authors.initials: RJ
authors.lastname: Fiebel
authors.forename: A
authors.initials: A
authors.lastname: Oliva
authors.forename: R L
authors.initials: RL
authors.lastname: Jackson
authors.forename: K
authors.initials: K
authors.lastname: Louie
authors.forename: H J
authors.initials: HJ
authors.lastname: Buncke
mesh_terms: D000009:Abdominal Muscles / Q000637:transplantation; D000328:Adult; D016267:External Fixators; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery*