Chapter 12: Reconstruction of bone and soft tissue loss in fractures of the tibia

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Debridement of necrotic bone is critical to unite tibial fractures. Free flap reconstruction is done using half pin frames followed by delayed Ilizarov reconstruction after flap maturation. Antibiotic beads are used to resuscitate the wound. Antibiotic spacers are used to maintain a soft tissue tunnel for reconstruction. Bone loss can be reconstructed by acute shortening, lengthening, intercalary transport, or a combination of these techniques.

Original languageEnglish (US)
Pages (from-to)103-109
Number of pages7
JournalTechniques in Orthopaedics
Issue number1
StatePublished - Mar 1 2002



  • Ilizarov reconstruction bone tibia fractures

ASJC Scopus subject areas

  • Surgery

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