Large segmental radius and ulna defect treated by bone transportation with the Ilizarov technique |
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Authors: | Rahal S C Volpi R S Vulcano L C Ciani R B Mannarino R |
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Institution: | School of Veterinary Medicine and Animal Science, Department of Veterinary Surgery and Anesthesiology, UNESP Botucatu, Caixa Postal 560 - Rubi?o Júnior, s/n, CEP: 18618-000 - Botucatu (SP), Brazil. |
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Abstract: | An 8-year-old male Boxer with a severely contaminated open fracture of the left radius and ulna fracture, produced by a helicopter propeller, was treated using bone transport by the Ilizarov method. Extensive diaphyseal bone loss and soft-tissue vascular damage were present. The radius and ulna were stabilised with an Ilizarov ring external fixator. The bone defect was partially shortened and restored by gradual transport of a bone segment created from proximal segments of the radius and ulna. The external fixator was removed 4 fi months after the beginning of the latency period, due to instability caused by osteolysis around the wires. A cast was placed for 3 weeks. Although the bone transport had resulted in formation of approximately 4 cm of bone, the antebrachium showed approximately 50% shortening when compared to the contralateral limb. The infection was eradicated, and the dog was able to bear weight on the operated limb when walking. |
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