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Patient Case History: John

Bone Transport in Femur for a 10 cm Defect

Pre-Op

Patient Surgeon: S. Robert Rozbruch
John was in a severe car accident and suffered an open right femur fracture among other injuries. Open wounds, exposed bone, and bone loss had occurred. He was initially treated with a rod, and this became infected. He was offered an above knee amputation by other doctors, and he wanted us to save his leg. He presented to us with a 10 cm segmental bone defect and infection.

John, Pre-op Image, Bone transport in femur for a 10 cm defect

Post-Op

The rod was removed and the bone edges were debrided. Antibiotic beads were inserted to help clear the infection. After 6 weeks, the beads were removed and the bone defect was gradually shortened. Then an osteotomy above the knee was performed. Gradual lengthening in the distal femur would restore the length of his leg.

John, post-op Image, Bone transport in femur for a 10 cm defect
John, post-op Image, Bone transport in femur for a 10 cm defect
John, post-op Image, Bone transport in femur for a 10 cm defect

Follow-Up

A 10 cm lengthening was done while the bone defect was closed. This is known as bone transport. Full weight bearing was encouraged during the treatment.

John, followup Image, Bone transport in femur for a 10 cm defect
John, followup Image, Bone transport in femur for a 10 cm defect
John, followup Image, Bone transport in femur for a 10 cm defect

Follow-Up

The new bone matured and healed. John is walking and he is very happy.

LL case9: John, followup Image, Bone transport in femur for a 10 cm defect
LL case9: John, followup Image, Bone transport in femur for a 10 cm defect
LL case9: John, followup Image, Bone transport in femur for a 10 cm defect
LL case9: John, followup Image, Bone transport in femur for a 10 cm defect


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