Contralateral structural femoral autograft use in treatment of an open periarticular knee fracture to perform knee arthrodesis

Andrew W. MacK, Melvin D. Helgeson, John E. Tis

Research output: Contribution to journalArticlepeer-review

Abstract

Combat-related blast injuries often cause devastating extremity trauma. We report a case of a 21-year-old male servicemember who sustained massive bilateral lower extremity trauma secondary to a blast injury. His orthopaedic injuries included a near traumatic disarticulation of the right knee and a left open type IIIB periarticular knee fracture with traumatic patellectomy, loss of the extensor mechanism, and segmental loss of the distal 11 cm of his femur. Definitive treatment of his injuries included a contralateral structural cortical femoral autograft which was implanted into the left knee segmental defect to facilitate knee fusion with an intramedullary knee fusion nail and a right transfemoral amputation. Radiographic evidence of solid fusion was obtained 8 months postoperatively. Currently, the patient is a community ambulator with the aid of his right lower extremity prosthetic limb and cane.

Original languageEnglish (US)
Pages (from-to)576-580
Number of pages5
JournalJournal of orthopaedic trauma
Volume22
Issue number8
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

Keywords

  • Knee arthrodesis
  • Limb salvage
  • Segmental defect
  • Structural autograft

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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