Osteogénesis por distracción en pseudoartrosis infectada de fémur. Caso clínico.

• Autores: Edgardo Santiago Sanzana Salamanca, Fredy C. Montoya, Gemma Lopez Carcel, Beatriz A. Koryzma
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 82, Nº. 4, 2017, págs. 306-311
• Idioma: español
• DOI: 10.15417/673
• Títulos paralelos:
  • Distraction osteogenesis in femoral infected nonunion. Case report.
• Enlaces
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• Resumen
  • español

    Comunicamos un caso de seudoartrosis infectada de fémur secundaria a una fractura expuesta de tipo IIIC, tratada con osteogénesis por distracción.

    Hombre de 32 años con una fractura expuesta de fémur derecho con lesión arterial por disparo de escopeta. Es operado de urgencia y se le efectúa limpieza quirúrgica, fijación externa y reparación arterial. Evoluciona con una seudoartrosis infectada femoral distal, por lo que, a los 24 meses de evolución, es sometido a una resección amplia y queda un defecto óseo de 12 cm, que se resuelve mediante distracción osteogénica.

    La osteogénesis por distracción es útil para obtener la reparación y la consolidación de variados defectos óseos. Requiere de un paciente comprometido con un proceso terapéutico demandante.

  • English

    We report a case of infected nonunion secondary to a type IIIC open femoral fracture, treated by distraction osteogenesis.

    A 32-year-old man with a gunshot open fracture of the distal right femur with arterial injury. Surgical debridement, external fixation and arterial repair are performed as emergency procedure. The patient develops a femoral infected nonunion, so 24 months later a wide resection is performed leaving a 12 cm bone defect that is regenerated by distraction osteogenesis.

    Distraction osteogenesis is a useful procedure for the repair and consolidation of several bone defects. It requires patient´s commitment to a demanding therapeutic process.

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