Late amputation following refracture after removal of multiplanar circular external fixator for treatment of severe combat-related tibial fracture

Matthew G. Hanley; Benjamin Chi; Joshua D. Bernstock; Connor M. Caples; Daniel G. Kang; Benjamin K. Potter; Wade T. Gordon

doi:10.2106/JBJS.CC.15.00156

Late amputation following refracture after removal of multiplanar circular external fixator for treatment of severe combat-related tibial fracture

Matthew G. Hanley, Benjamin Chi, Joshua D. Bernstock, Connor M. Caples, Daniel G. Kang, Benjamin K. Potter, Wade T. Gordon

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Case: The multiplanar circular external fixator is commonly used in the treatment of severe combat-related tibial fractures. We present the case of a patient who sustained a refracture after removal of such a fixator. This complication contributed to failure of the limb salvage and ultimately resulted in the patient undergoing transtibial amputation. Conclusion: The choice to pursue limb salvage or amputation must be a shared decision between the patient and provider. This discussion must now include the possibility of refracture if limb salvage is pursued using multiplanar circular external fixation. Further study is also required to define fracture stability after the removal of a multiplanar circular external fixator.

Original language	English
Article number	e32
Journal	JBJS Case Connector
Volume	6
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.15.00156
State	Published - 2016
Externally published	Yes

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@article{0a61dc6aaee0439ca5879d824457e1b5,

title = "Late amputation following refracture after removal of multiplanar circular external fixator for treatment of severe combat-related tibial fracture",

abstract = "Case: The multiplanar circular external fixator is commonly used in the treatment of severe combat-related tibial fractures. We present the case of a patient who sustained a refracture after removal of such a fixator. This complication contributed to failure of the limb salvage and ultimately resulted in the patient undergoing transtibial amputation. Conclusion: The choice to pursue limb salvage or amputation must be a shared decision between the patient and provider. This discussion must now include the possibility of refracture if limb salvage is pursued using multiplanar circular external fixation. Further study is also required to define fracture stability after the removal of a multiplanar circular external fixator.",

author = "Hanley, {Matthew G.} and Benjamin Chi and Bernstock, {Joshua D.} and Caples, {Connor M.} and Kang, {Daniel G.} and Potter, {Benjamin K.} and Gordon, {Wade T.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2016 by The Journal of Bone and Joint Surgery, Incorporated.",

year = "2016",

doi = "10.2106/JBJS.CC.15.00156",

language = "English",

volume = "6",

journal = "JBJS Case Connector",

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T1 - Late amputation following refracture after removal of multiplanar circular external fixator for treatment of severe combat-related tibial fracture

AU - Hanley, Matthew G.

AU - Chi, Benjamin

AU - Bernstock, Joshua D.

AU - Caples, Connor M.

AU - Kang, Daniel G.

AU - Potter, Benjamin K.

AU - Gordon, Wade T.

PY - 2016

Y1 - 2016

N2 - Case: The multiplanar circular external fixator is commonly used in the treatment of severe combat-related tibial fractures. We present the case of a patient who sustained a refracture after removal of such a fixator. This complication contributed to failure of the limb salvage and ultimately resulted in the patient undergoing transtibial amputation. Conclusion: The choice to pursue limb salvage or amputation must be a shared decision between the patient and provider. This discussion must now include the possibility of refracture if limb salvage is pursued using multiplanar circular external fixation. Further study is also required to define fracture stability after the removal of a multiplanar circular external fixator.

AB - Case: The multiplanar circular external fixator is commonly used in the treatment of severe combat-related tibial fractures. We present the case of a patient who sustained a refracture after removal of such a fixator. This complication contributed to failure of the limb salvage and ultimately resulted in the patient undergoing transtibial amputation. Conclusion: The choice to pursue limb salvage or amputation must be a shared decision between the patient and provider. This discussion must now include the possibility of refracture if limb salvage is pursued using multiplanar circular external fixation. Further study is also required to define fracture stability after the removal of a multiplanar circular external fixator.

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SN - 2160-3251

VL - 6

JO - JBJS Case Connector

JF - JBJS Case Connector

IS - 2

M1 - e32

ER -

Late amputation following refracture after removal of multiplanar circular external fixator for treatment of severe combat-related tibial fracture

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