Managing bone loss with rail road external fixator & bone transport: A case report

Abstract

Gap non-union of long bones is a challenging problem in modern world, due to the limitation of conventional reconstructive techniques more so if associated with infection and soft tissue defect. Bone transport is on of the technique that restores normal autologous bone to the defect site, but this can be a long process. Using two osteotomy sites allows for more rapid recovery of length and this is well tolerated. Bone transport can often be used to close soft tissue defects thereby reducing the need for free tissue transfer.We report a case of 55-year-old man, laborer by occupation, had H/O Road Traffic Accident and had Gustilo Anderson Type IIIb fracture of Right Tibial Diaphysis 5 years back.