SA Orthopaedic Journal
On-line version ISSN 2309-8309
Large bone defects are challenging to reconstruct and require specialised techniques, multiple surgeries, and long treatment periods. When these bony defects are associated with large soft tissue defects, it complicates the management further, necessitating soft tissue reconstruction in the form of local or free flaps. We report a case of a 25-year-old male, where a failed bi-Masquelet procedure resulted in a large bone and soft tissue defect of the tibia. Local or free flap reconstruction was not possible due to the extensive scarring and lack of vascular donor vessels. Open bone transport, using distraction histogenesis, was successful in reconstructing both the bone and soft tissue defects.
Keywords : bone transport; bi-Masquelet; Ilizarov; bone defect; reconstruction.