Reconstruction of Traumatic Bone Defect With In Situ Implantation of Dropped XXXX .

@entity1 @entity174 @entity4422 @entity79 @entity273 @entity281 @entity954 @entity166
UNASSIGNED: This study was conducted to determine whether in situ implantation of a dropped @entity79 is safe and whether the authors' method would reduce the incidence of @entity166 . The authors retrospectively reviewed 16 @entity1 with @entity4422 , including 11 with @entity174 and 5 with Gustilo-Anderson type IIIB @entity174 who had a dropped @entity79 between January 2002 and January 2012. Mean @entity1 age was 35.4 years (range, 19-47 years). There were 10 femurs and 6 tibias. Average postoperative follow-up was 26.8 months (range, 12-60 months). The dropped traumatic segmental bone fragments were cleaned with 3% @entity273 , placed in separate sterile cups, and soaked in 1% iodophor for 30 minutes. Initial treatment included @entity954 , wound irrigation, in situ implantation of the dropped @entity79 , and temporary external fixation. Approximately 4 to 8 weeks later, after successful reconstruction of the soft tissue envelope, minimally invasive plate osteosynthesis was performed. Mean duration of treatment was 8 weeks (range, 6-14 weeks). All @entity1 had @entity174 union at final follow-up. Mean healing time was 21.8 weeks (range, 14-48 weeks). One @entity1 did not achieve primary union and required bone grafting. One @entity1 with a Gustilo-Anderson type IIIB @entity174 had @entity281 and removal of the dropped @entity79 and bone grafting. According to the Klemm and B  rner classification, 11 @entity1 had excellent results, 3 had good results, and 2 had poor results. With adequate soft tissue coverage, this method was acceptable for the management of @entity4422 with @entity79 . [Orthopedics. 2016; 39(1):e14-e18.].
