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Orthopaedic Department, Waikato Hospital, New Zealand
*Corresponding author: Neal Singleton, Orthopaedic Department, Waikato Hospital, New Zealand
Submission: March 30, 2017;Published: June 25, 2018
ISSN: 2576-8875Volume3 Issue3
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
Ph.D in Agriculture from Faculty of Agriculture, Tohoku University
Research Professor, PhD, Holistic Research Institute
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute
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