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Distraction of Hypertrophic Callus in the Treatment of Segmental Bone Loss in the Femur. A Case Report*
MICHAEL J. RASCHKE, M.D.†; KATRIN STOSCH-WIECHERT, M.D.†; ANDREAS WEILER, M.D.†; CYRUS KHODADADYAN, M.D.†; NORBERT P. HAAS, M.D.†, BERLIN, GERMANY
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Investigation performed at Unfall- und Wiederherstellungschirurgie, Medizinische Fakultät Charité, Berlin
J Bone Joint Surg Am, 2000 Jan 01;82(1):101-4
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Extract

The treatment of a comminuted open fracture of the lower extremity caused by high-energy trauma often requires serial débridements and preliminary external fixation before open reduction and internal fixation and wound closure10. The prevalence of complications, including delayed fracture-healing, nonunion, and deep infection, has stimulated interest in the use of the Ilizarov ring fixator, with initial shortening and early wound closure followed by a corticotomy and segmental bone transport for restoration of limb length11. The disadvantages of stabilization with a ring fixator and subsequent segmental bone transport include a high rate of delayed union or nonunion at the docking site, pin-loosening, pin-track infection, and the pain and inconvenience that are associated with the long treatment period7,12.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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