부산대학교 도서관

This chapter deals with the management of bone loss in open fractures with particular reference to the tibia. This is a challenging problem and requires input and expertise from orthopaedic and plastic surgery specialists in limb reconstruction. The different sizes, shapes, and location of the defect will have diverse implications, and management must be individualised. Individualisation of treatment entails an assessment of the local, systemic, and patient-related factors such that the optimum mode of treatment is chosen. The techniques available include autogenous bone grafting, with or without prior induced membrane creation, vascularised free transfer of bone, and bone regeneration by the Ilizarov method.