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Osteosynthesis and Trauma Care 2003; 11(2): 99-104
DOI: 10.1055/s-2003-42524
Case Report

© Georg Thieme Verlag Stuttgart · New York

The Use of Cylindrical Titanium Mesh Cages in the Treatment of Post-Traumatic Segmental Bone Loss of the Femur

P. Reynders1 , P. L. O. Broos1 , D. Stoffelen1
  • 1Department of Traumatology, U.Z. Gasthuisberg, Leuven, Belgium
Further Information

Publication History

Publication Date:
06 October 2003 (online)

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Abstract

We describe the management of a male road traffic accident victim who presented with an eleven-centimetre segmental defect of his left femur. This was treated with a cylindrical titanium mesh cage, autografted with cancellous bone and stabilised with the LISS plate system. At a two-year follow-up, radiographs showed good alignment and restoration of the limb length. Although there was formation of a good bone bridge, no osseous continuity was seen in the metal cages between the two main fragments. This treatment modality allowed attainment of immediate axial stability of the bone-implant construct, which made early weight bearing possible. In our opinion, this reconstructive technique for segmental defects in long bones is an alternative worthy of comparison with the established technique of distraction osteogenesis. The above technique may be of use in selected cases, where infection is absent.

Key words

Open fractures - defect fractures - complications of operative fracture treatment

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Prof. Dr. P. Reynders

Department of Traumatology · U. Z. Gasthuisberg

Herestraat 49

3000 Leuven · Belgium

Phone: +32/16 34 42 77

Fax: +32/16 34 46 14

Email: peter.reynders@uz.kuleuven.ac.be

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