title: Successful reimplantation of extruded long bone segments in open fractures of lower limb--a report of 3 cases.
abstract: Extruded bone segments are rare complication of high energy open fractures. Routinely these fractures are treated by debridement followed by bone loss management in the form of either bone transport or free fibula transfer. There are very few reports in the literature about reimplantation of extruded segments of bone and there are no clear guidelines regarding timing of reimplantation, bone stabilisation and sterilisation techniques. Reimplantation of extruded bone is a risky procedure due to high chances of infection which determines the final outcome and can result in secondary amputations. We present two cases of successful reimplantation of extruded diaphyseal segment of femur and one case of reimplantation of extruded segment of tibia.
authors.affiliation: Chairman, Ganga Hospital, 313 Mettupalayam Road, Coimbatore 641043, India(2). Electronic address: rajasekaran.orth@gmail.com.
authors.forename: Rajasekaran
authors.initials: R
authors.lastname: Shanmuganathan
authors.affiliation: Ganga Hospital, Coimbatore, India. Electronic address: arunkamalch@gmail.com.
authors.forename: Arun Kamal
authors.initials: AK
authors.lastname: Chandra Mohan
authors.affiliation: Ganga Hospital, Coimbatore, India. Electronic address: agraharamdevendra@gmail.com.
authors.forename: Devendra
authors.initials: D
authors.lastname: Agraharam
authors.affiliation: Ganga Hospital, Coimbatore, India. Electronic address: orthoram@gmail.com.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Perumal
authors.affiliation: Ganga Hospital, Coimbatore, India. Electronic address: dheenu.dhayalan@gmail.com.
authors.forename: Dheenadhayalan
authors.initials: D
authors.lastname: Jayaramaraju
authors.affiliation: P.G.I. Swasthiyog Pratishthan Institute, Miraj, India. Electronic address: drsunil.kulkarni@gmail.com.
authors.forename: Sunil
authors.initials: S
authors.lastname: Kulkarni
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000583:Amikacin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002444:Cefuroxime / Q000008:administration & dosage; D003646:Debridement / Q000379:methods*; D005264:Femoral Fractures / Q000473:pathology / Q000601:surgery*; D017102:Fracture Healing; D005597:Fractures, Open / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D013978:Tibial Fractures / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D000583:Amikacin; D002444:Cefuroxime
keywords: Bone loss; Extruded bone segments; Open fractures; Reimplantation of extruded bone segments; Sterilisation techniques