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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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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author Elizabeth P. Wellings, MD
James A. Blair, MD, FACS
author_facet Elizabeth P. Wellings, MD
James A. Blair, MD, FACS
author_sort Elizabeth P. Wellings, MD
collection DOAJ
description 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.
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spelling doaj-art-af6a8cdecbc64adea5041bad771eee522025-08-20T03:47:21ZengWolters KluwerOTA International2574-21672025-06-018210.1097/OI9.0000000000000408OI90000000000000408Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case reportElizabeth P. Wellings, MD0James A. Blair, MD, FACS1a Department of Orthopedic Surgery, Emory University at Grady Memorial Hospital, Atlanta, GAa Department of Orthopedic Surgery, Emory University at Grady Memorial Hospital, Atlanta, GAAbstract. 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.http://journals.lww.com/10.1097/OI9.0000000000000408
spellingShingle Elizabeth P. Wellings, MD
James A. Blair, MD, FACS
Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
OTA International
title Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
title_full Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
title_fullStr Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
title_full_unstemmed Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
title_short Regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening: a case report
title_sort regenerate stabilization with a photodynamic bone stabilization system after acute shortening and then lengthening a case report
url http://journals.lww.com/10.1097/OI9.0000000000000408
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