Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report

Abstract. Case:. A 42-year-old African-American woman sustained a type IIIA open pilon fracture requiring open reduction internal fixation complicated by wound dehiscence. Acute shortening for primary wound closure was performed followed by relengthening in a circular frame. Owing to the patient...

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Bibliographic Details
Main Authors: Elizabeth P. Wellings, MD, James A. Blair, MD, FACS
Format: Article
Language:English
Published: Wolters Kluwer 2025-06-01
Series:OTA International
Online Access:http://journals.lww.com/10.1097/OI9.0000000000000408
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Summary:Abstract. Case:. A 42-year-old African-American woman sustained a type IIIA open pilon fracture requiring open reduction internal fixation complicated by wound dehiscence. Acute shortening for primary wound closure was performed followed by relengthening in a circular frame. Owing to the patient's intolerance to the circular frame, pre-existing osseous deformity, large body habitus, and soft tissue compromise, conversion to intramedullary stabilization with standard nailing was deemed exceedingly difficult. We describe the use of a photodynamic bone stabilization system allowing for percutaneous entry and implant flexibility for the purpose of early circular frame removal. Conclusion:. This case demonstrates successful protection of immature regenerate using a photodynamic bone stabilization system, offering another tool to minimize time spent in a circular frame.
ISSN:2574-2167