Replacement of an extruded segment of radius after autoclaving and sterilising with gentamicin.
A 10 year-old boy had a traumatic extrusion of 10 cm of the distal radius. The segment of bone was replaced after washing it with providine iodine solution and normal saline, autoclaving and dipping in gentamicin solution for 2 hour. At four and half year's follow-up, there was complete incorporation of the segment with almost full functional recovery. We report this case for its rarity and discuss the treatment.
Kumar
P
P
Department of Orthopedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal. drpankaj06@yahoo.co.in <drpankaj06@yahoo.co.in>
Shrestha
D
D
Bajracharya
S
S
D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods*; D001864:Bone Wires; D004550:Elbow / Q000000981:diagnostic imaging / Q000601:surgery; D005543:Forearm Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D005839:Gentamicins; D006801:Humans; D011859:Radiography; D011884:Radius / Q000637:transplantation*; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D013227:Steam; D013242:Sterilization / Q000379:methods*; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries
D005839:Gentamicins; D013227:Steam