Limb salvage in a pediatric open femur fracture with critical bone defect secondary to shotgun injury: A case report

A five-year-old patient sustained a grade IIIC open femur fracture with an associated critical bone defect secondary to a close-range shotgun blast. After initial vascular reconstruction (facilitated by acute shortening), irrigation and debridement, and provisional stabilization, the patient was ult...

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Bibliographic Details
Main Authors: Colin C. Cantrell, John J. Carney, Clayton R. Welsh, Bennet A. Butler
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Orthopaedic Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X24001930
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Summary:A five-year-old patient sustained a grade IIIC open femur fracture with an associated critical bone defect secondary to a close-range shotgun blast. After initial vascular reconstruction (facilitated by acute shortening), irrigation and debridement, and provisional stabilization, the patient was ultimately treated with a monolateral frame to facilitate bone transport and lengthening. At fourteen-month follow-up the patient was fully healed, neurovascularly intact, and able to ambulate normally. This article presents the details of this case and reviews the literature surrounding limb salvage of similar injuries.
ISSN:2773-157X