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Abstract

Orthopedic Research Online Journal

A Case Report of a Novel Method for the Treatment of Large Osteoarticular Defects Following Shotgun Injury to the Knee

Submission: March 30, 2017;Published: June 25, 2018

DOI: 10.31031/OPROJ.2018.03.000564

ISSN: 2576-8875
Volume3 Issue3

Abstract

Introduction: Gunshot trauma is increasing worldwide [1]. Consequently, orthopaedic surgeons need to have an understanding of how to treat these often challenging injuries. This report outlines one such case where significant osteoarticular loss made conventional treatment methods difficult and a novel method was utilised.

Case presentation: A 24 year old man presented to our institution having accidentally shot him in the left knee while cleaning a shotgun. He sustained compound distal femoral and proximal tibial fractures with significant osteoarticular loss meaning conventional treatment methods could not be employed. Instead the inner ilium was fashioned to match his missing tibial plateau and a femoral head allograft was used to fill the defect in his medial femoral condyle.

Conclusion: Gunshot trauma is common. Due to the high velocity nature bony and soft tissue trauma can be extensive and make conventional treatment methods difficult. This case outlines a method for the treatment of large osteoarticular defects.

Keywords: Osteo articular loss; Novel treatment; Auto graft; Allograft

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