title: Combined distraction osteogenesis and Papineau technique for an open fracture management of the distal lower extremity.
abstract: Despite modern surgical techniques and advanced antimicrobial therapy, open lower-extremity fracture management and osteomyelitis remain a challenge for reconstructive surgeons. Posttraumatic composite bone and soft tissue defects are usually the result of high-energy trauma and are often associated with concomitant injuries, therefore making complex reconstruction more difficult. This article presents a case report of an open distal tibial fracture managed by a simultaneous distraction osteogenesis and Papineau technique with a long term follow-up and literature review.
authors.affiliation: 4th Department of Orthopaedics, KAT General Hospital, 2 Nikis Street, 14561 Kifissia, Athens, Greece. bpolyzois@yahoo.com
authors.forename: Vasilios D
authors.initials: VD
authors.lastname: Polyzois
authors.forename: Spyridon
authors.initials: S
authors.lastname: Galanakos
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Papakostas
authors.forename: George
authors.initials: G
authors.lastname: Macheras
mesh_terms: D000328:Adult; D001458:Bandages; D003646:Debridement; D016267:External Fixators; D005593:Fracture Fixation, Internal; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D019857:Osteogenesis, Distraction; D010027:Osteotomy; D017592:Skin Care; D013978:Tibial Fractures / Q000601:surgery*; D014945:Wound Healing