[Retrograde nailing in a tibial fracture].
We describe a case of a severely comminuted type iiia open tibial fracture, with distal loss of bone stock (7 cm), total involvement of the tibial joint surface, and severe instability of the fibular-talar joint. The treatment performed consisted of thorough cleansing, placing a retrograde reamed calcaneal-talar-tibial nail with proximal and distal blockage, as well as a fibular-talar Kirschner nail. Primary closure of the skin was achieved. After 3 weeks, an autologous iliac crest bone graft was performed to fill the bone defect, and the endomedullary nail, which had protruded distally was reimpacted and dynamized distally. The bone defect was eventually consolidated after 16 weeks. Currently, the patient can walk without pain the tibial-astragal arthrodesis is consolidated.
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari del Parc Taulí, Sabadell, Barcelona, España. Electronic address: mvallsm@tauli.cat.
M
M
Valls-Mellado
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari del Parc Taulí, Sabadell, Barcelona, España.
D
D
Martí-Garín
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari del Parc Taulí, Sabadell, Barcelona, España.
F
F
Fillat-Gomà
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari del Parc Taulí, Sabadell, Barcelona, España.
F A
FA
Marcano-Fernández
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari del Parc Taulí, Sabadell, Barcelona, España.
J A
JA
González-Vargas
D005594:Fracture Fixation, Intramedullary; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D013978:Tibial Fractures / Q000601:surgery*; D055815:Young Adult
Enclavado retrógrado; Fractura abierta; Open fracture; Retrograde nailing; Tibia