title: Traumatic femoral bone defect reconstruction with an autoclaved autologous femoral segment. A 10-year follow-up.
abstract: 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.
authors.affiliation: Orthopaedic and Traumatology Department, University Hospital, Fort de France, Martinique, French West Indies. jlrouvillain@sasi.fr
authors.forename: Jean Louis
authors.initials: JL
authors.lastname: Rouvillain
authors.forename: Thomas
authors.initials: T
authors.lastname: Navarre
authors.forename: Olivier
authors.initials: O
authors.lastname: Noseda
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Garron
mesh_terms: 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