Six cases of old fracture of the tibia with large sear, bony defect, and shortening deformity of the limb were treated by elongation osteotomy at epiphysis and compression fixation of the fracture with external semilunar fixation frame. The bony defect ranged from 3cm to 6cm. Bony healing developed in all patients 4-7 months after operation. Early postoperative movement was suggested. The results revealed that there was an obvious improvement of the joint function and the shortened legs were corrected. The advantages of this method are that there is no need of bone grafting and operative treatment of the scar prior to treatment of the bone.
Citation: Zhou Zhongyin,et al.. PRIMARY TREATMENT FOR CICATRIX, BONY DEFECT, AND SHORTENING OF THE LIMB. Chinese Journal of Reparative and Reconstructive Surgery, 1991, 5(2): 87-88. doi: Copy