Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report

Yasir Mohib; Usman Ali; Fizzah Mariam; Muhammad Bilal Raza Slote; Ziad Ali; Haroon Ur Rashid

doi:10.2106/JBJS.CC.24.00493

Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report

Yasir Mohib, Usman Ali, Fizzah Mariam, Muhammad Bilal Raza Slote, Ziad Ali, Haroon Ur Rashid

Department of Orthopaedics

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Case: Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications - skin invagination and failure at proximal docking site - were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion. Conclusion: This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.

Original language	English (UK)
Article number	e24.00493
Journal	JBJS Case Connector
Volume	15
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.24.00493
Publication status	Published - 30 Jan 2025

Keywords

bone regeneration
complex bone reconstruction
distraction osteogenesis
Ilizarov technique
limb salvage
orthopedic surgery
resource-limited settings
segmental tibial defect
tetrafocal bone transport
trauma

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10.2106/JBJS.CC.24.00493

Cite this

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title = "Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report",

abstract = "Case: Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications - skin invagination and failure at proximal docking site - were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion. Conclusion: This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.",

keywords = "bone regeneration, complex bone reconstruction, distraction osteogenesis, Ilizarov technique, limb salvage, orthopedic surgery, resource-limited settings, segmental tibial defect, tetrafocal bone transport, trauma",

author = "Yasir Mohib and Usman Ali and Fizzah Mariam and Slote, \{Muhammad Bilal Raza\} and Ziad Ali and \{Ur Rashid\}, Haroon",

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doi = "10.2106/JBJS.CC.24.00493",

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T1 - Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss

T2 - A Case Report

AU - Mohib, Yasir

AU - Ali, Usman

AU - Mariam, Fizzah

AU - Slote, Muhammad Bilal Raza

AU - Ali, Ziad

AU - Ur Rashid, Haroon

PY - 2025/1/30

Y1 - 2025/1/30

N2 - Case: Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications - skin invagination and failure at proximal docking site - were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion. Conclusion: This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.

AB - Case: Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications - skin invagination and failure at proximal docking site - were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion. Conclusion: This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.

KW - bone regeneration

KW - complex bone reconstruction

KW - distraction osteogenesis

KW - Ilizarov technique

KW - limb salvage

KW - orthopedic surgery

KW - resource-limited settings

KW - segmental tibial defect

KW - tetrafocal bone transport

KW - trauma

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ER -

Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report

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Keywords

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