Resect or retain bone fragments in children and teenagers with severe open fractures? A case report

Jan Hendrik Duedal Rölfing, Mats Bue, Birgitte Jul Kiil, Juozas Petruskevicius*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Abstract

Case:
A 14-year-old pedestrian was hit by a car and encountered similar bilateral Gustilo IIIB open tibial fractures. The right tibial fracture involved a large borderline vital butterfly fragment without periosteal contact, which was retained and proceeded to sufficient healing within 12 weeks. The left tibial fracture was treated according to the principles for the treatment of severe open fractures in adults, involving resection of devitalized fragments and bone transport, and healed within 15 months.

Conclusions:
Teenagers do possess larger bone healing potential than adults. Therefore, a rapid bone union can be achieved even with apparently devitalized bone fragments if sufficient soft-tissue closure and stable fracture fixation is established early in the treatment of open limb fractures.
OriginalsprogEngelsk
Artikelnummere20.00390
TidsskriftJBJS Case Connector
Vol/bind10
Nummer4
ISSN2160-3251
DOI
StatusUdgivet - dec. 2020

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