RT Journal
A1 RASCHKE, MICHAEL J.
A1 STOSCH-WIECHERT, KATRIN
A1 WEILER, ANDREAS
A1 KHODADADYAN, CYRUS
A1 HAAS, NORBERT P.
T1 Distraction of Hypertrophic Callus in the Treatment of Segmental Bone Loss in the Femur. A Case Report*
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2000
FD January 1
VO 82
IS 1
SP 101
OP 4
DO 
UL http://dx.doi.org/
AB 
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.