Ipsilateral Fibular Transport Using Ilizarov–Taylor Spatial Frame for a Limb Salvage Reconstruction: a Case Report

Raheel Shafi, MD
Limb Lengthening and Deformity Service, Hospital for Special Surgery
Weill Cornell Medical College


Austin T. Fragomen, MD
Limb Lengthening and Deformity Service, Hospital for Special Surgery
Weill Cornell Medical College


S. Robert Rozbruch, MD
Limb Lengthening and Deformity Service, Hospital for Special Surgery
Weill Cornell Medical College


Abstract
Segmental bone defects of the tibia present a challenging problem, particularly when they are associated with soft tissue injuries or instability. Various techniques have been reported to treat bone loss in the tibia. This case report describes a patient with massive segmental bone loss associated with a soft tissue injury, which required a flap for coverage. The injury was treated with an ipsilateral fibular transport utilizing an Ilizarov/Taylor spatial frame. At one and a half year follow-up, the patient was able to walk without any support at home and wore a protective shell for outdoor activities. The outcome of this case study indicates that ipsilateral fibular transport using the Ilizarov method is a valuable technique for limb salvage reconstruction.

This Article appears in HSS Journal: Volume 5, Number 1.
View the full article at springerlink.com.

About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.

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