title: Internal bone transport using a cannulated screw as a mounting device in the treatment of a post-infective ulnar defect.
abstract: Bone transport techniques can be used to address the segmental bone loss occurring after debridement for infection. Secure fixation of the bone transport construct to the bone transport segment can be challenging, particularly if the bone is small and osteopenic. We report a case of a segmental ulnar bone defect in a young child treated with internal bone transport using a cannulated screw as the mounting device. We found this technique particularly useful in the treatment of bone loss secondary to infection, where previous treatment and prolonged immobilisation had led to osteopenia. This technique has not been previously reported.
authors.affiliation: Department of Orthopaedics, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK. tsitskaris@yahoo.com.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Tsitskaris
authors.affiliation: Department of Orthopaedics, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK.
authors.forename: Heledd
authors.initials: H
authors.lastname: Havard
authors.affiliation: Department of Orthopaedics, St Mary's Hospital and Hillingdon Hospital, London, UK.
authors.forename: Paulien
authors.initials: P
authors.lastname: Bijlsma
authors.affiliation: Department of Orthopaedics, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Hill
keywords: Cannulated screw; Internal bone transport; PVL S. aureus; Ulnar segmental bone defect