Portal de Periódicos da CAPES

Spontaneous Healing of a Massive Tibial Cortical Defect

1997; Lippincott Williams & Wilkins; Volume: 11; Issue: 2 Linguagem: Inglês

10.1097/00005131-199702000-00013

1531-2291

David M. Klein, Daniel A. Caligiuri, Joseph Riina, Barry M. Katzman,

Hemostasis and retained surgical items

This case report describes the spontaneous healing of a 20-cm massive tibial cortical defect. The defect was created during debridement of necrotic bone and soft tissue in a low-velocity gunshot wound of the tibia that became infected in a skeletally mature patient. The patient was treated in an external fixator and had a soleus flap to provide soft-tissue coverage. He had refused any surgical reconstructive options. Despite the absence of surgical reconstruction, his tibia healed, and he returned to full activity without any orthotic device 9 months after the original injury.