Traumatic femoral bone defect reconstruction with an autoclaved autologous femoral segment. A 10-year follow-up.
Traumatic bone defects in the diaphyso-metaphyseal distal part of the femur are difficult to treat. Only two publications have described traumatic extrusion of a femoral shaft fragment and its successful replacement after autoclave sterilisation. We report the case of a 17-year-old patient who had traumatic extrusion of an 11- cm segment of his distal femur. The bone segment was retrieved on the road, and was reimplanted in its anatomical position after cleansing and autoclaving. At ten years follow-up, there is complete incorporation with full functional recovery. The preserved periosteum seems to have played a major part in this successful outcome.
Rouvillain
Jean Louis
JL
Orthopaedic and Traumatology Department, University Hospital, Fort de France, Martinique, French West Indies. jlrouvillain@sasi.fr
Navarre
Thomas
T
Noseda
Olivier
O
Garron
Emmanuel
E
D000063:Accidents, Traffic; D000293:Adolescent; D005264:Femoral Fractures / Q000601:surgery; D005269:Femur / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D012092:Replantation / Q000379:methods*; D013242:Sterilization